<![CDATA[Background: Urological reconstruction encompasses various clinical challenges, including urinary diversion, urethral and ureteral strictures, congenital anomalies, and neurogenic bladder dysfunction. Despite the rapid growth in publications, the global intellectual structure of this field remains insufficiently mapped. Objective: This study aims to identify research characteristics, trends, influential sources, key works, and conceptual themes in urological reconstruction. Methods: A bibliometric analysis was conducted using Scopus data retrieved on April 19, 2026, from the TITLE-ABS-KEY field using eight core phrases related to urological reconstruction. The data were exported and cleaned through synonym merging, removal of nonspecific terms, and keyword standardization, and were then analyzed using Biblioshiny and VOSviewer. Results: A total of 1,827 documents from 435 sources and 8,559 authors published during 2016–2026 were identified. Scientific production increased substantially after 2020, reaching its peak in 2025. The leading journals were Urology (181 documents), Journal of Pediatric Urology (102), and World Journal of Urology (70). Dominant keywords included urinary diversion, urethral stricture, urethroplasty, neurogenic bladder, and urethral reconstruction. Co-occurrence analysis revealed four major themes: post-cystectomy urinary diversion, urethral reconstruction, pediatric and neurogenic reconstruction, and ureteral reconstruction. Conclusion: Urological reconstruction research is concentrated around mature themes of urinary diversion and urethral reconstruction, while ureteral reconstruction and robotic techniques represent emerging areas. Tissue engineering remains a promising translational frontier requiring further clinical validation. Future studies should explore broader databases, collaboration networks, and long-term reconstructive outcomes.]]>
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