World renowned surgeons Miklos and Moore (www.miklosandmoore.com, www.lvratlanta.com) demonstrate laparascopic vesicovaginal fistula repair. A fistula is an abnormal connection between organs. A vesicovaginal fistula is an abnormal connection between the bladder (vesico) and the vagina. This type of vaginal fistula usually occurs during the healing process after a hysterectomy, infant delivery (vaginal or Cesarean), cancer operations, or radiation therapy. Predisposing conditions for fistula formation include previous surgery, diabetes, smoking, cancer, or steroid use. The majority of the fistulas that occur in the United States are due to abdominal surgery (especially abdominal hysterectomies). A fistula repair surgery can close up a vaginal fistula.