Transperitoneal approach to repair genitourinary fistula is used in all situations except
Transperitoneal approach of repair is preferred in complex large fistulas.
Fistula closer to ureteral orifices.
Con-comitant ureteric and vesicovaginal fistula.
Fistula located proximally in a narrow vagina.
Non-complicated small vesicovaginal fistula.