Gynaecology & Obstetrics General d0a542e3 Transperitoneal approach to repair genitourinary fistula is used in all situations except A Fistula closer to ureteral orifices. B Con-comitant ureteric and vesicovaginal fistula. C Fistula located proximally in a narrow vagina. D Non-complicated small vesicovaginal fistula. High-Yield Explanation Transperitoneal approach of repair is preferred in complex large fistulas.