This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Transperitoneal approach to repair genitourinary fistula is used in all situations except 
Select and explain. 
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.
D: Non-complicated small vesicovaginal fistula.
Answer: D: Non-complicated small vesicovaginal fistula. 
Explanation: Transperitoneal approach of repair is preferred in complex large fistulas.