Urogenital fistula is an abnormal communication between the urinary tract and the genital tract. The occurrence of urogenital fistula varies based on whether the cause is related to obstetrics or gynecology causes, with obstetric trauma prevalent in developing nations and iatrogenic injury during pelvic surgery common in developed countries. Urogenital fistula is linked to various risk factors, a few of them are prolonged and obstructed labor, early marriage, older age, patients education, and lack of antenatal care. These factors can be avoided with preventive measures improving access to obstetric care and provide health trainings for healthcare worker. A collaboration of medical, educational, and infrastructure measures is essential to effectively address and prevent the incidence of urogenital fistula. This article presents a comprehensive review of urogenital fistula, including its etiology, risk factors, management, and prevention based on prior studies.