Dr. Smith is a graduate of Cornell University and Albert Einstein College of Medicine. She completed her general surgery internship and urology residency at the University of Pennsylvania. Dr. Smith completed a two year fellowship at University of California, Los Angeles, in Female Urology and Pelvic Reconstructive Surgery. She is extensively trained in pelvic floor and voiding dysfunction with expertise in video-urodynamic evaluation and surgical reconstruction with an emphasis on minimally invasive techniques including vaginal surgery and robotics.

Dr. Smith is trained to treat many of the most complex disorders of the urinary tract in both men and women. The spectrum includes pelvic organ prolapse, cystocele repair, rectocele repair, robotic sacrocolpopexy, hysterectomy, urinary incontinence, sling operations, artificial urinary sphincters, stool incontinence, bladder dysfunction, neuromodulation, intravesical botox, neurogenic bladder, augmentation cystoplasty, continent and incontinent urinary diversions, orthotopic neobladders, pelvic pain, urinary fistulas (vesicovaginal, rectovaginal, rectoprostatic fistulas), urethral and bladder diverticuli, prostatic enlargement, TURP and Laser TURP procedures, urethral strictures, interstitial cystitis, hematuria, urinary tract infection, and pelvic reconstructive procedures using flaps and grafts.

Dr. Smith has been involved nationally in the American Urologic Association, Society for Female Urology and Urodynamics and the International Continence Society, having presented several abstracts in both clinical and basic science research. She received grant funding from the California Institute of Regenerative Medicine to complete her research studies on the use of stems cells for bladder dysfunction. Dr. Smith has also been the principal investigator for urologic research involving epidemiology of urinary incontinence, post-prostatectomy incontinence, stress induced bladder dysfunction, and the effects of aging on urodynamics and the bladder. She recently received NIH funding as Co-Principal Investigator for the Pelvic Floor Disorders Network at Penn.

Dr. Smith has taught and mentored dozens of medical students and residents and has been involved in urologic education. She has published several articles and editorials in peer-reviewed journals and co-authored several text book chapters over the last few years.
She is currently involved in building a state-of-the-art program in Pelvic Medicine and Pelvic Reconstructive Surgery at Pennsylvania Hospital while delivering excellent and compassionate care for the patients of the University of Pennsylvania Health System.

• 1998-present American Medical Women’s Association
  • House of Delegates Representative, 1999
  • Chapter President, 2000
• 2001-present American College of Surgeons
• 2003-present American Urologic Association
• 2005-present Society of Urodynamics and Female Urology
  SUFU/AUGS Joint Fellow’s Forum Coordinator, 2011
• 2009-present American Geriatric Society
• 2009-present Society of Women in Urology
• 2010-present International Continence Society

• 2003-present Philadelphia Urologic Association
• 2010-present Philadelphia Chamber of Commerce Young Professionals Group

• 2011-present Pelvic Floor Disorders Network (PFDN) ESTEEM Protocol, National Institutes of Health

1. Smith AL, Moy ML. Modern management of women with stress urinary incontinence. Ostomy Wound Management 50(12):32-39, Dec. 2004. PMID: 15632454.
2. Smith AL, Rovner ES. Long-term chronic complications from Stamey endoscopic bladder neck suspension: A case series. International Urogynecologic Journal and Pelvic Floor Dysfunction 17(3):290-294, May 2006.
3. Smith AL, Ferlise VJ, Rovner ES. Female urethral strictures: Successful management with long-term clean intermittent catheterization after urethral dilatation. BJU International 98(1):96-99, July 2006. PMID: 16831151.
4. Kim J, Smith AL, Raz S. Fistulas: What does the evidence say? Current Bladder Dysfunction Reports 3(4):208-213, Dec 2008.
5. Twiss CO, Triaca V, Anger JT, Patel M, Smith AL, Kim JH, Raz S, Rodriguez LV. Validation of the Incontinence Symptom Severity Index: A self-assessment instrument for voiding symptom severity in women. Journal of Urology 2009 (accepted for publication).
6. Anger JT, Weinberg AE, Smith AL, Albo ME, Rodriguez LV, Saigal CS. Trends in the surgical management of stress urinary incontinence among female Medicare beneficiaries. Urology 74(2):283-287, Aug. 2009 (Epub ahead of print June 7, 2009). PMID: 19501886.
7. Smith AL, Raz S. Current status of robotic surgery for pelvic organ prolapsed. BJU International 105(4):448-450, Feb. 2010 (Epub ahead of print Dec. 7, 2009). PMID: 20002436.
8. Smith AL, Wang PC, Anger JT, Mangione C, Trejo L, Rodriguez LV, Sarkisian CA. Correlates of urinary incontinence in community dwelling older Latinos. Journal of the American Geriatrics Society 58(6):1170-1176, June 2010 (Epub ahead of print Apr. 6, 2010). PMID: 20406311.
9. Smith AL, Wein AJ. Recent advances in management of bladder overactivity. F1000 Medicine Reports 2:9, Feb. 11, 2010. PMID: 20948824.
10. Smith AL, Nissim HA, Le TX, Khan A, Maliski SL, Litwin MS, Sarkisian CA, Raz S, Rodriguez LV, Anger JT. Misconceptions and miscommunications among aging women with overactive bladder. Urology 77(1):55-59, Jan. 2011 (Epub ahead of print Oct. 23, 2010). PMID: 20970839.
11. Smith AL, Ferlise VJ, Wein AJ, Ramchandani P, Rovner ES. Effect of a 7F transurethral catheter on abdominal leak point pressure measurements in men with post prostatectomy incontinence. Urology 77(5):1188-1193, May 2011 (Epub ahead of print Jan. 21, 2011). PMID: 21256560.
12. Anger JT, Nissim HA, Le TX, Smith AL, Lee U, Sarkisian C, Litwin MS, Raz S, Rodriguez LV, Maliski SL. Women's experience with severe overactive bladder symptoms and treatment: Insight revealed from patient focus groups. Neurourology & Urodynamics 30(7):1295-1299, Sept. 2011 (Epub ahead of print Apr. 28, 2011). PMID:21538495.
13. Smith AL, Leung J, Kun S, Zhang R, Karagiannides I, Raz S, Lee U, Glovatscka V, Mayer E, Pothoulakis C, Bradesi S, Rodríguez LV. The effects of acute and chronic stress on bladder function in a rodent model. Urology 78(4):967 e1-7, Oct. 2011 (Epub ahead of print Aug. 24, 2011). PMID: 21868072.
14. Smith AL, Jaffe WI, Wang M, Wein AJ. Detrusor overactivity leak point pressure in women with urgency incontinence. International Urogynecology Journal (Epub ahead of print Oct 19, 2011). PMID: 22008739.
15. Smith AL, Wein AJ. Contemporary management of overactive bladder. Postgraduate Medicine 2012 (accepted for publication).
16. Greer J, Smith AL, Arya L. Abdominal and pelvic floor muscle defects in women with urge urinary incontinence: a rationale for physiotherapy treatment. International Urogynecology Journal 2012 (accepted for publication).

1. Mucksavage P, Smith AL, Moy ML. The use of botulinum toxin in the treatment of refractory overactive bladder. [Review] Ostomy Wound Management 52(12):28, 30, 32-33, Dec. 2006. PMID: 17219700.
2. Kasturi S, Kutikov A, Guzzo TJ, Smith AL, Wein AJ. Modern management of pheo-chromocytoma. [Review] Nature Clinical Practice Urology 4(11):630-633, Nov. 2007. PMID: 17982440.
3. Smith AL, Wein AJ. Recent advances in developing antimuscarinic agents for overactive bladder. [Review] Trends in Pharmacological Science 31(10):470-475, Oct. 2010. PMID: 20801529.
4. Smith AL, Wein AJ. Estrogen replacement therapy for the treatment of genitourinary tract dysfunction. [Review] Discoveries in Medicine 10(55):500-510, Dec. 2010. PMID: 21189221.
5. Smith AL, Wein AJ. Outcomes of pharmacologic management of nocturia with non-antidiuretic agents: Does statistically significant equal clinically significant? [Review] BJU International 107(10):1550-1554, May 2011. PMID: 21518417.
6. Smith AL, Wein AJ. Urinary incontinence: Pharmacotherapy options. [Review] Annals of Medicine 43(6):461-476, 2011 (Epub ahead of print June 3, 2011). PMID: 21639723.

1. Smith AL, Kim J, Raz S. Treatment of pelvic pain. AUANews®, Sept. 2008, 17-18.
2. Smith AL. Current status of robotic surgery for pelvic organ prolapsed. SUFU Newsletter 10-12, Sept. 2009.
3. Smith AL, Kim J, Staack A, Baxter Z, Rodriguez L, Raz S. Suprameatal urethrolysis with martius flap. ICS Congress Newspaper 23-24, Fall 2009.
4. Smith AL, Wein AJ. Antimuscarinic pharmacotherapy for overactive bladder. CML – Urology 16(1):1-11, 2010.
5. Smith AL, Wein AJ. Estrogen replacement for the urologist: effects on genitourinary function. AUA Update Series 2010/2011.
6. Kasturi S, Jaffe WI, Smith AL. Clinically relevant terminology of the female lower genitourinary tract. Current Bladder Dysfunction Reports 6(3):167-175, 2011.
7. Stansell L, Smith AL, Jaffe WI. Treatment in neurogenic voiding dysfunction: An update. Current Bladder Dysfunction Reports 6(1):37-44, 2011.
8. Menchen L, Smith AL. Overactive bladder prevalance after surgery for pelvic organ relapse. Current Bladder Dysfunction Reports Feb. 2012 (in press).

1. Smith AL, Anger JT, Weinberg AE, Albo ME, Rodriguez LV, Saigal CS and the Urologic Diseases of America Project. Trends in the surgical management of stress urinary incontinence among female Medicare beneficiaries. NIDDK New Research Directions in Urinary Incontinence Symposium, Bethesda, MD, Jan 2009.
2. Anger JT, Smith AL, Weinberg AE, Nissim HA, Le TX, Sarkisian CA, Maliski SL, Litwin MS, Raz S, Rodriguez LV. The value of a symptom management approach to overactive bladder symptoms in women. NIDDK New Research Directions in Urinary Incontinence Symposium, Bethesda, MD, Jan 2009.
3. Anger JT, Smith AL, Le TX , Nissim HA, Maliski SL, Litwin MS, Raz S, Rodriguez LV. How dry is “OAB Dry”? NIDDK New Research Directions in Urinary Incontinence Symposium, Bethesda, MD, Jan 2009.
4. Smith AL, Anger JT, Wang PC, Rodríguez LV, Sarkisian CA. Prevalence and correlates of urinary incontinence in community dwelling older Latinos. NIDDK New Research Directions in Urinary Incontinence Symposium, Bethesda, MD, Jan 2009.
5. Smith AL, Kim JH, Baxter C, Staack A, Rodriguez LV, Raz S. Anterior flap extraperitoneal augmentation cystoplasty. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
6. Anger JT, Smith AL, Nissim HA, Le TX , Maliski SL, Litwin MS, Raz S, Rodriguez LV. Misconceptions and miscommunication among aging with OAB. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
7. Kim JH, Smith AL, Baxter C, Staack A, Rodriguez LV, Raz S. Transvaginal closure of bladder neck. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
8. Kim JH, Smith AL, Baxter C, Staack A, Rodriguez LV, Raz S. Transanal transrectal repair of rectoprostatic fistula. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
9. Baxter C, Staack A, Kim JH, Smith AL, Rodriguez LV, Raz S. Rectus crossover for continent urinary diversion. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
10. Staack A, Smith AL, Kim JH, Baxter C, Rodriguez LV, Raz S. Cystocele grade 4 contributes to overactive bladder symptoms in the older patient population. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
11. Staack A, Smith AL, Kim JH, Baxter C, Rodriguez LV, Raz S. Subjective SEAPI parameters as a useful scoring system to evaluate lower urinary tract symptoms in patients with grade IV cystoceles. Winter Meeting of the Society for Urodynamics & Female Urology, Las Vegas, NV, Feb. 2009.
12. Smith AL, Kim JH, Staack A, Baxter C, Rodriguez LV, Raz S. Suprameatal urethrolysis with Martius flap. Spring Meeting of the American Urological Association, Chicago, IL, Apr. 2009.
13. Smith AL, Kim JH, Staack A, Baxter C, Rodriguez LV, Raz S. Urethrovaginal fistula repair with Martius flap. Spring Meeting of the American Urological Association, Chicago, IL, Apr. 2009.
14. Smith AL, Anger JT, Kim JH, Rodríguez LV, Raz S. Urodynamic trends in the female aging population: Detrusor hyperactivity with impaired contractility, two conditions or one? Spring Meeting of the American Urological Association, Chicago, IL, Apr. 2009.
15. Smith AL, Anger JT, Wang PC, Rodríguez LV, Sarkisian CA. Prevalence and correlates of urinary incontinence in community dwelling older Latinos. Spring Meeting of the American Geriatrics Society, Chicago, IL, Apr. 2009.
16. Smith AL, Leung J, Harper S, Zhang R, Rodriguez LV. The effect of acute and chronic stress and anxiety-like behavior on bladder motor and sensory function. 30th Annual Scientific Meeting of the American Urogynocologic Society, Hollywood, FL, Sept. 2009.
17. Smith AL, Anger JT, Wang PC, Rodríguez LV, Sarkisian CA. Prevalence and correlates of urinary incontinence in community dwelling older Latinos. 30th Annual Scientific Meeting of the American Urogynocologic Society, Hollywood, FL, Sept. 2009.
18. Smith AL, Leung J, Harper S, Zhang R, Rodriguez LV. The effect of acute and chronic stress and anxiety-like behavior on bladder motor and sensory function. 39th Annual Meeting of the International Continence Society, San Francisco, CA, Sept./Oct. 2009.
19. Smith AL, Kim JH, Staack A, Baxter C, Rodriguez LV, Raz S. Suprameatal urethrolysis with Martius flap. 39th Annual Meeting of the International Continence Society, San Francisco, CA, Sept./Oct. 2009.
20. Smith AL, Kim JH, Staack A, Baxter C, Rodriguez LV, Raz S. Urethrovaginal fistula repair with Martius flap. 39th Annual Meeting of the International Continence Society, San Francisco, CA, Sept./Oct. 2009.
21. Smith AL, Anger JT, Kim JH, Rodríguez LV, Raz S. Urodynamic trends in the female aging population: Detrusor hyperactivity with impaired contractility, two conditions or one? 39th Annual Meeting of the International Continence Society, San Francisco, CA, Sept./Oct. 2009.
22. Smith AL, Anger JT, Wang PC, Rodríguez LV, Sarkisian CA. Prevalence and correlates of urinary incontinence in community dwelling older Latinos. 39th Annual Meeting of the International Continence Society, San Francisco, CA, Sept./Oct. 2009.
23. Smith AL, Leung J, Harper S, Zhang R, Rodriguez LV. The effect of acute and chronic stress and anxiety-like behavior on bladder motor and sensory function. Annual Meeting of the Society for Urodynamics & Female Urology, St. Petersburg, FL, Feb. 2010.
24. Smith AL, Kun S, Leung J, Zhang R, Pan C, Wu B, Rodriguez LV. Detrusor injection of autologous adipose-derived stem cells in chitosan based gel for treatment of the effects of bladder outlet obstruction in an animal model. Annual Meeting of the Society for Urodynamics & Female Urology, St. Petersburg, FL, Feb. 2010.
25. Brucker B, Menchen L, Jaffe W, Smith AL. Female pelvic anatomy training module for urology residents. Annual Meeting of the Society for Urodynamics & Female Urology, St. Petersburg, FL, Feb. 2010.
26. Smith AL, Leung J, Harper S, Zhang R, Rodriguez LV. The Effect of Acute and Chronic Stress and Anxiety-like Behavior on Bladder Motor and Sensory Function. Annual Meeting of the American Urological Association, San Francisco, CA, May 2010.
27. Smith AL, Wang M, Jaffe WI, Wein AJ. Detrusor leak point pressure (DLPP) in non-neurogenic women with urge incontinence. Annual Meeting of the Society for Urodynamics & Female Urology, Phoenix, AZ, Feb. 2011. Neurourology & Urodynamics 30(2):213.
28. Lee U, Smith AL, Golovatscha V, Rodriguez LV. The effect of chronic water avoidance stress on bladder mast cell activity in a rodent model. Annual Meeting of the Society for Urodynamics & Female Urology, Phoenix, AZ, Feb. 2011. Neurourology & Urodynamics 30(2):226, 2011.
29. Anger JT, Rogo-Gupta, L, Walker S, Smith AL, Litwin M, Malitski S, Rodriguez LV. Is “OAB-Dry” really dry? Annual Meeting of the Society for Urodynamics & Female Urology, Phoenix, AZ, Feb. 2011. Neurourology & Urodynamics 30(2):261-262, 2011.
30. McGonagle E, Smith AL, Butler S, Sliwoski J, Valentino R, Canning DA, Zderic S. Platform swim stress results in an altered voiding phenotype in male mice. Annual Meeting of the American Urological Association, Washington, DC, May 2011.
31. Lee U, Smith AL, Golovatscha V, Bradesi, S, Rodriguez LV. The effect of chronic water avoidance stress on bladder mast cell activity in a rodent model. AUA Annual Meeting of the American Urological Association, Washington, DC, May 2011.
32. Anger JT, Rogo-Gupta, L, Walker S, Behniwal A, Rashid R, Nissim H, Le T, Smith AL, Litwin M, Malitski S, Rodriguez LV. Is “OAB-Dry” really dry? Annual Meeting of the American Urological Association, Washington, DC, May 2011.
33. Smith AL, McGonagle E, Butler S, Sliwoski J, Valentino R, Canning DA, Zderic S. Platform swim stress results in an altered voiding phenotype in male mice. Annual Meeting of the Society for Urodynamics & Female Urology, New Orleans, LA, Feb. 2012.

1. Smith AL, Van Arsdalen K. Case reports: Ureteroscopic removal of eroded staples in two patients with history of laparoscopic surgery. [Case Report] Journal of Endourology 20(9):659-662, Sept. 2006. PMID: 16999620.
2. Smith AL, Axilrod AC. Male sexual dysfunction. Chap. 19 in Hanno PM, Wein AJ, Malkowicz SB, eds.: Clinical Manual of Urology. Philadelphia: Elsevier, 2006, 665-706.
3. Smith AL, Raz S. Stress urinary incontinence: Relative importance of urethral support and urethral closure pressure. [Editorial] Journal of Urology 179(6):2290, June 2008.
4. Smith AL, Kim J, Raz S. Surgical treatment of pelvic organ prolapse: Anatomy of the pelvic floor. Sect. 4, Chap. 47 in n Graham SD, Keane TE. Glenn JF, eds.: Glenn’s Urologic Surgery, 7th Edition. Philadelphia: Lippincott Williams & Wilkins, 2009, 311-317.
5. Kim J, Smith AL, Raz S. Vaginal hysterectomy. Sect. 4, Chap. 48 in Graham SD, Keane TE. Glenn JF, eds.: Glenn’s Urologic Surgery, 7th Edition. Philadelphia: Lippincott Williams & Wilkins, 2009, 318-325.
6. Smith AL, Raz S. Correction of erosion after suburethral sling insertion for stress incontinence: Results and related sexual function. [Editorial] European Urology 56(2):377, Aug. 2009 (Epub ahead of print Sept. 2, 2008). PMID: 18768250.
7. Smith AL, Raz. Videourodynamic evaluation of urge syndrome following pubovaginal sling procedure for stress urinary incontinence in women. [Editorial] International Urogynecology 20(10):1253-1258, 2009.
8. Smith AL, Wein AJ. Drug treatment of voiding dysfunction in women. Sect. 5, Chap. 42 in Cardozo L, Staskin DR, eds.: Textbook of Female Urology and Urogynecology, 3rd Edition. London: Informa Healthcare, 2010, 418-446.
9. Smith AL. Book review of The Female Pelvic Floor: Function, Dysfunction and Management According to the Integral Theory Third Edition. BJU International 107(3):495, Mar. 2011.
10. Smith AL, Wein AJ. Lower urinary tract symptoms. Chap. 10 in Guzzo TG, Drach G, Wein AJ, eds.: Primer of Geriatric Urology, 1st Edition. Philadelphia: Lippincott Williams & Wilkins, 2012 (in press).
11. Kasturi S, Jaffe WI, Smith AL. Urologic office procedures. Chap. 3 in Guzzo TG, Drach G, Wein AJ, eds.: Primer of Geriatric Urology, 1st Edition. Philadelphia: Lippincott Williams & Wilkins, 2012 (in press).
12. Smith AL, Wein AJ. Management. Chap. 7 in Andersson KE, Wein AJ, eds.: Bladder Dysfunction: The Basis for Current Clinical Management. Philadelphia: Lippincott Williams & Wilkins, 2012 (in press).
13. Smith AL, Wein AJ, Drake M. Evaluation. Chap. 6 in Andersson KE, Wein AJ, eds.: Bladder Dysfunction: The Basis for Current Clinical Management. Philadelphia: Lippincott Williams & Wilkins, 2012 (in press).

1. Smith AL, Raz S. Surgical management of stress urinary incontinence. On-line publication UrologyHealth.org,
2. Smith AL, Canning DA. Nocturnal enuresis. Girl’s Life Magazine Fall, 2009.
3. Smith AL. Social impact of continence. Pause Magazine 2010 http://pause.acog.org.