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Leiomyomas are benign mesenchymal tumour originating from muscle cell. Renal leiomyomas an unusual primary renal tumour of the kidneys originating from smooth muscle cell. Here, authors describe a rare case of renal leiomyoma in a 46-year-old female patient who presented with recurrent haematuria and flank pain. Authors report their first experience in robot-assisted nephronsparing surgery for renal leiomyoma. Easier resection and suturing was a potential advantage of this approach. The patient improved after tumour removal and the prognosis is excellent without recurrence after six months postsurgically. Authors also discuss the summary of clinical features of renal leiomyomas.