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As cesarean sections become a more common mode of delivery, they have become the most likely cause of vesicouterine fistula formation. Vesicouterine fistulas (VUF) are a pathological and uncommon connection between the uterus and the bladder. Patients with VUF may have various clinical presentations. The main symptoms are urinary incontinence, which may be associated with hematuria. Vesicouterine fistulas are usually associated with psychological distress and have a negative effect on quality of life. The accurate and early diagnosis of VUF can be difficult. There are multiple ways to investigate VUF and several examinations may be required to confirm the diagnosis; these examinations may include a cystoscopy, a retrograde cystography, methylene blue test, and a computed tomography scan. We report a case of vesicouterine fistula.