A vesicoperineal fistula is an uncommon entity, described as an aberrant tract between the bladder lumen and the cutaneous surface of the perineum. We present the case of a 78-year-old male who underwent abdominoperineal resection and chemoradiotherapy for the treatment of non-metastatic, locally advanced rectal cancer. Five years later, he developed a pelvic floor hernia and underwent perineal mesh repair. A f...