After a survey of the pertinent literature, a brief account of the signs and symptoms, diagnosis and therapy of vesico-uterine fistula is given and two cases are reported. In the first case hysterectomy had to be done because tissue destruction was too extensive for organ saving surgery. In the second case the extent of the lesion was compatible with preservation of the uterus. Healing was smooth, and free from complications in both cases. In Case 2, five years after operation the patient gave birth to a healthy female child of 3750 g weight. It is emphasized that in surgical repair of vesico-uterine fistulae preservation of the uterus should be sought.