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Both upper pole ureters are transected. Variance of the blood supply can be encountered; therefore, highly selective dissection of the vessels is performed, and care is taken to preserve the main renal vessels. Upper pole partial nephrectomy is carried out using a harmonic scalpel at the demarcation line. RESULTS Operative time was 182 minutes. Discharge was on post-operative day 2 without intra or post-operative complications. Follow-up ultrasound 3 months post-operation demonstrated a normal lower pole moiety without hydronephrosis o