en Urology and Nephrology Urology and Nephrology Review Article Review Article <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b>&nbsp;&nbsp;</b><b><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp; Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Systematic reviews and meta-analyses are essential for evidence-based urology practice. Despite their importance, no comprehensive assessment of their evolution exists, limiting understanding of research priorities. This bibliometric analysis examines systematic reviews and meta-analyses in urology, analyzing publication trends, influential works, and collaboration networks to guide future research.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods:</b> In this bibliometric study, a comprehensive search of the Scopus database was conducted until January 2024, focusing on English-language systematic reviews and meta-analyses in urology. Bibliometric data were analyzed using Excel, VOSviewer, and Scimago Graphica to examine publication trends, citations, collaborations, and research themes.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results:</b> Analysis of 9006 publications (55.4% open access) showed exponential growth from 1987 (n = 1) to 2024 (n = 1025). The top 50 cited papers focused mainly on urological oncology (uro-oncology), surgical outcomes, and diagnostic imaging. European Urology emerged as the leading journal, showing strong bibliographic coupling with other specialty urological journals. Term co-occurrence analysis revealed 5 major clusters: (1) drug efficacy in prostatic hyperplasia; (2) cancer risk and genetic studies; (3) treatment modalities in urological cancers; (4) surgical complications; and (5) diagnostic accuracy in prostate cancer. The United States, Italy, and the United Kingdom demonstrated the strongest international collaboration networks, with European countries showing robust research partnerships.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> Urological evidence synthesis shows particular emphasis on uro-oncology, surgical outcomes, and diagnostic imaging, reflecting the evolution of evidence-based urological practice. Future research should focus on expanding international collaborations, addressing emerging diagnostic technologies, and developing standardized methodologies for evidence synthesis in urological practice.</span></span></span></span></span></span></span></span><br> &nbsp; Systematic Review, Meta-analysis, Bibliometric, Scientometric, Trend, Urology, Evidence Synthesis 674 690 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-3673-7&slc_lang=en&sid=1 Mohammad Amin Salari Masalari42@gmail.com 200319475328460092084 200319475328460092084 No Shahrekord Branch, Islamic Azad University, Shahrekord, Iran Sina Baghi Keshtan Sinabk94@gmail.com 200319475328460092085 200319475328460092085 No Birjand University of Medical Sciences, Birjand, Iran Ghazal Mohammadi ghazalm14998@gmail.com 200319475328460092086 0009-0002-3003-6656 No Tehran University of Medical Sciences, Tehran, Iran Ali Faryabi Faryabi.ali@gmail.com 200319475328460092087 200319475328460092087 No Tehran University of Medical Sciences, Tehran, Iran Hossein Aazami Hossein.aazami@gmail.com 200319475328460092088 200319475328460092088 No Iran University of Medical Sciences, Tehran, Iran Hojat Dehghanbanadaki dehghan.hojat@yahoo.com 200319475328460092089 200319475328460092089 Yes Tehran University of Medical Sciences, Tehran, Iran