Cutting-edge technology for fluvial monitoring has revolutionised the field, enabling more comprehensive data collection, analysis, and interpretation. Traditional monitoring methods were limited in their spatial and temporal resolutions, but advancements in remote sensing, unmanned aerial systems (UASs), and other innovative technologies have significantly enhanced the fluvial monitoring capabilities. UASs equipped with advanced sensors enable detailed and precise fluvial monitoring by capturing high-resolution topographic data, generate accurate digital elevation models, and provide imagery of river channels, banks, and riparian zones. These data enable the identification of erosion and deposition patterns, the quantification of sediment transport, the evaluation of habitat quality, and the monitoring of river flows. The latter allows us to understand the dynamics of rivers during various hydrological events, including floods, droughts, and seasonal variations. This manuscript aims to provide an update on the main research themes and topics in the literature on the use of UASs for river monitoring. The latter is achieved through a bibliometric analysis of the publication trends and identifies the field’s key themes and collaborative networks. The bibliometric analysis shows trends in the number of publications, number of citations, top contributing countries, top publishing journals, top contributing institutions, and top authors. A total of 1085 publications on UAS monitoring in rivers are identified, published between 1999 and 2023, showing a steady annual growth rate of 24.44%. Bibliographic records are exported from the Web of Science (WoS) database using a comprehensive set of keywords. The bibliometric analysis of the raw data obtained from the WoS database is performed using the R software. The results highlight important trends and valuable insights related to the use of UASs in river monitoring, particularly in the last decade. The most frequently used author keywords outline the core themes of UASs monitoring research and highlight the interdisciplinary nature and collaborative efforts within the field. “River”, “topography”, “photogrammetry”, and “Structure-from-Motion” are the core themes of UASs monitoring research. These findings can guide future research and promote new interdisciplinary collaborations.