Over the last decade, innovation of medical interventions concerning less radical surgery consists cornerstone of therapeutic management. Among gynecologic surgical procedures, medical experience and completion of educational curve lead to the decrease of potential post-operative complications. Vesicovaginal Fistula (VVF) represent ultimate medical injury in cases of total laparoscopic or abdominal hysterectomy. The aim of our study, consists of primary detection of such cases, assiduous imaging depiction, and ultimate therapeutic strategy. New technical innovations and less radical intervention consist of necessary conditions to establish proper therapeutic mapping.