MSNEWLIN: There is hope, really!! I had my bladder "nicked" on July 1st, and except for 1 week, I've had a catheter in since then (8+ weeks!). I won't sugar-coated...it's been Hell. I'm a 3-time cancer survivor, and going through cancer was easier than this...seriously! I've had 4 UTI's and have been hospitalized once, just a week ago. I've had every test in the book. I don't know know big your vesicovaginal fistula is, mine turned out to be the size of a pin hole. I had a Cystoscopy today and my Urologist (God Bless Him!) cauterized the hole while he was in there looking around, and will remove the foley in 2 days. The success rate is very good, so we're keeping our fingers crossed. I can tell you this...ever since he cauterized the fistula I have not had any leakage whatsoever from my vagina or around the catheter. My leakage had gotten so bad that I was wearing a Depend brief AND a Poise Hourglass pad, both at the same time, and I was STILL soaking both, plus the towel I put underneath, and urine leaked down my legs when I stood up. I could not even walk around the house. One thing I found when I was in the hospital is that when you gush so much, your potassium levels get really low and they had to keep giving me potassium in the hospital, so make sure you have your potassium levels checked. If this does not work, I will need surgery, but I have the best Urologist in my area, and we are both very confident this cauterization will work. Before you go through major surgery, please ask your Urologist about cauterizing your fistula if it's small enough. It's a better alternative to major surgery. I wish you well. Please feel free to ask me any questions. God Bless You. Oh, yeah.....during this ordeal I did a LOT of praying, and my priorities in life sure have changed. It's amazing the things we take for granted in this world! If you believe in God, please pray, it really does help. God wants to see us happy, not sad. Hugs and Love. Amy