Abstract: Vesico-uterine fistula (VUF) is an uncommon urogenital fistula. Menouria is an important clinical feature of this fistula. A case report of VUF following cesarean sections is reported. There were several investigations done to arrive at a diagnosis of VUF. This case was successfully managed by surgical repair. One year following the repair she conceived and currently she is ten weeks of pregnant. VUF can be prevented by good surgical techniques.