Vesical vaginal fistula is the most common urogenital fistula.This article reportd a case treating by transurethral intravesical suturing combined with vaginal anterior wall suturing.The patient was followed up for 6 months after surgery,showing no symptoms,normal urine flow,and no recurrence of fistula.This surgical approach is simple to perform,minimally invasive,and has a quick recovery,which suggests the feasibility of this procedure.However,large sample studies are needed to verify its efficacy and safety.