Global research trends in robotic surgery in andrology: a bibliometric and visualization analysis (2003-2025)

This study aimed to evaluate global research trends in robotic surgery in andrology using a bibliometric approach. A comprehensive search was conducted in the Web of Science Core Collection using predefined keywords related to robotic-assisted techniques and andrological procedures. Publications between 2003 and 2025 were included. After applying eligibility criteria, 69 studies (37 articles and 32 reviews) were analyzed. Bibliometric analyses were performed using Biblioshiny and VOSviewer to assess publication output, citation patterns, leading sources, countries, authors, and collaborative networks. The results demonstrated fluctuations in annual scientific production, with the highest number of publications recorded in 2014. Citation trends varied across publication years. Publications were primarily concentrated in leading peer-reviewed journals in the fields of urology, andrology, and robotic surgery, reflecting the specialized and interdisciplinary nature of the field. The United States ranked first in both publication output and citation impact, while Turkey exhibited the highest collaborative strength based on total link strength. Keyword analysis identified vasovasostomy, microsurgery, varicocelectomy, and male infertility as the dominant research themes. Co-authorship and co-citation analyses indicated that the field is shaped by a limited number of influential authors and core studies. In conclusion, robotic surgery in andrology represents a steadily expanding research area characterized by increasing scientific output and evolving collaboration patterns. From a clinical perspective, the concentration of current evidence may limit its generalizability to broader practice. Future multicenter studies evaluating procedure-specific outcomes, functional results, pain relief, complications, long-term durability, and cost-effectiveness may further clarify the role of robotic techniques in andrology.