infection has been documented as an uncommon cause of vesicovaginal fistula (VVF) and can result in impaired wound healing of urogenital tissues. For these reasons, it could potentially be linked to an increased rate of obstetric fistula among women who experience obstructed labor and/or in a higher failure rate of fistula repair. Therefore, the primary objective of our study was to determine the prevalence of infection among women undergoing obstetric VVF repair in Lilongwe, Malawi. Our secondary objectives were to assess if infection could be a risk factor for obstetric fistula development or unsuccessful VVF repair in our patient population. From July to October 2013, we conducted testing via urine microscopy on 96 patients undergoing obstetric VVF repair surgery at the Fistula Care Centre in Lilongwe, Malawi. The prevalence of infection among women undergoing obstetric VVF repair was 2% (n=2). Both women with had successful VVF repairs. Although has the potential to be a risk factor for obstetric VVF formation or unsuccessful VVF repair, it was uncommon among the women in our clinic with obstetric VVF.