Catheter Extension Trial for Early Vesicovaginal Fistula Repair Failures

Inclusion Criteria: * Women who present with a vesicovaginal fistula for surgical repair AND who, at the time of initial catheter removal (7 or 14 days post-repair), have demonstrable fistulous leak on dye test Exclusion Criteria: * HIV infection, * concomitant bladder stone(s), * one or more ureters outside of the bladder, * urethrovaginal fistula, * multiple fistulas (more than one), * dye leak / fistulous leak present at end of surgical procedure, * radiation-induced fistula, * fistula caused by cancer or infection (such as lymphogranuloma venereum), * continence procedures being performed (such as pubovaginal sling), * rectovaginal fistula, * pregnancy, * fistula breakdown of greater than 2cm identified on postoperative dye test.