Alexander C. Small, MD, is an Attending Physician and Assistant Professor at Montefiore-Einstein. Dr. Small specializes in the treatment of urological diseases, cancer and kidney stones through the use of minimally invasive, robotic and endoscopic surgery.

After receiving his Bachelor of Arts from the University of Pennsylvania, Dr. Small attended Icahn School of Medicine at Mount Sinai, earning his Doctor of Medicine. He went onto his postdoctoral training at New York Presbyterian Hospital / Columbia University Medical Center, completing a general surgery internship followed by a urology residency, acting as chief resident in his final year. He then pursued his fellowship in advanced minimally invasive urology at Mount Sinai Hospital and Mount Sinai Beth Israel.

Dr. Small’s research focuses on the development of novel techniques for urological surgery and the use of technology to improve outcomes for patients with kidney stones and kidney cancer. With his colleagues, he has published over 30 papers in peer-reviewed journals, authored numerous book chapters and presented 60 abstracts at national and international conferences. Dr. Small is also a reviewer for the Journal of Urology, Urology Gold Journal and the International Journal of Surgical Oncology.

Dr. Small has received numerous awards including the Doris Duke Clinical Research Fellowship at Mount Sinai, the International Volunteers in Urology (IVUmed) Traveling Resident Scholar Award from the New York Section of the American Urological Association, and the Columbia University Mitchell Benson Research Award for clinical research accomplishments during his residency. He is a member of the American Urological Association.

Peer-Reviewed Original Research:

1.       Ho P, Margolin E, Sebesta E, Small AC, Badalato G. #AUAMatch: The Impact of COVID-19 on Social Media Use in the Urology Residency Match. Urology. 2021 May 21. [epub ahead of print]

2.       Young JA, Garden EB, Al-Alao O, Deoraj D, Small AC, Hruby G, Grotas AB, Palese MA. Disposable versus Reusable Cystoscopes: A Micro-Costing Value Analysis in High-Volume and Low-Volume Urology Practices. Urology Practice. 2021 Apr 2021. [epub ahead of print]

3.       Smigelski M, Movassaghi M, Small A, Saji A, Badalato B. Virtual urology education in the epicenter of COVID-19: development and outcomes of the Educational Multi-institutional Program for Instructing REsidents (EMPIRE) Lecture Series. Urology Practice. 2021 May 1;8(3):417-424.

4.       Tomer N, Small A, Mirza O, Palese M. Evidence of Resilience in Kidney Donors: A New York Statewide Cohort Analysis. Transplantation Proceedings. 2021 Apr;53(3):803-807.

5.       Garden EB, Shukla D, Ravivarau KT, Kaplan SA, Reddy AK, Small AC, Palese MA. Rezum therapy for patients with large prostates (≥80 grams): initial clinical experience and postoperative outcomes. World Journal of Urology. 2021 Jan 3;1-8.

6.       Ravivarapu KT, Omidele O, Pfail J, Tomer N, Small AC, Palese MA. Robotic-assisted simple prostatectomy versus open simple prostatectomy: a New York statewide analysis of early adoption and outcomes between 2009 and 2017. Journal of Robotic Surgery. 2020 Oct 3. [Online ahead of print]

7.       Shukla D, Small AC, Mehrazin R, Palese MA. Single port robotic assisted partial nephrectomy: initial clinical experience and lessons learned for successful outcomes. Journal of Robotic Surgery. 2021 Apr;15(2):293-298.

8.       Fulla J, Small A, Kaplan-Marans E, Palese M. Magnetic-Assisted Robotic and Laparoscopic Renal Surgery: Initial clinical experience with the LevitaTM Magnetic Surgical System. Journal of Endourology. 2020 Dec;34(12):1242-1246.

9.       Asafu-Adjei D, Small AC, McWilliams G, Galea G, Chung DC, Pak J. The Intravesical injection of highly purified botulinum toxin [Incobotulinumtoxin A (Xeomin®)]. Canadian Urological Association Journal. 2019 Nov;10(14).

10.   Schulster M, Small AC, Silva MV, Abbot JE, Davalos JG. Endoscopic Combined Intrarenal Surgery (ECIRS) can accurately predict high stone clearance rates on postoperative CT. Urology. 2019 Nov;133:46-49.

11.   Small AC, Benson CR, Brandes SB. Case of delayed ileal conduit necrosis related to infiltrative diffuse large B-cell lymphoma. Urology. 2019 Jan;123:12-15.

12.   Small AC, Perez A, Desire S, Zachariah P, Radhakrishnan J, Creelman LC, Alam S. Impact of Positive Preoperative Urine Cultures Before Pediatric Lower Urinary Tract Reconstructive Surgery. Pediatric Surgery International. 2018 Sep;34(9):983-989.

13.   Antoine S, Small AC, McKiernan JM, Shah O. A critical analysis of evidence and opinions within the American Urological Association’s Clinical Practice Guidelines. Canadian Journal of Urology. 2018 Feb; 25(1):9168-9178.

14.   Jayadevan R, Stensland K, Small A, Hall S, Palese M. A Protocol to Recover Needles Lost During Minimally Invasive Surgery. JSLS. 2014 Oct-Dec; 18(4): e2014.00165.

15.   Weiner J, Small AC, Lipton LR, Stensland KD, Aristegui J, Grossman M, Gliatto P. Establishing an online mentor database for medical students. Medical Education. 2014 May; 48(5):542-3.

16.   Goyal J, Pond GR, Galsky MD, Hendricks R, Small AC, Tsao CK, Sonpavde G. Association of Charlson comorbidity index and hypertension with survival in men with metastatic castration resistant prostate cancer receiving docetaxel-based chemotherapy.  Urologic Oncology. 2014 Jan; 32(1):36.e27-34.

17.   Pollard ME, Levinson AW, Shapiro EY, Cha DY, Small AC, Mohamed NE, Badani KK, Gupta M. Comparison of 3 upper tract anticarcinogenic agent delivery techniques in an ex vivo porcine model. Urology. 2013 Dec; 82(6):1451.e1-6.

18.   Small AC, Gainsburg DE, Mercado M, Link RE, Hedigan SP, Palese MA.  Laparoscopic needle retrieval device for improving quality of care in minimally invasive surgery. Journal of the American College of Surgeons. 2013 Sep; 217(3):400-5.

19.   Turkbey E, Redheuil A, Backlund J, Small A, Cleary P, Lachin J, Lima J, Bluemke D, and the DDCT/EDIC research group. Aortic distensibility in relation to cardiovascular disease risk factors. Diabetes Care. 2013 Aug; 36(8):2380-7.

20.   Tsao CK, Small AC, Kates M, Gartrell BA, Wisnivesky JP, Sonpavde G, Palese MA, Hall SJ, Oh WK, Galsky MD. Cytoreductive nephrectomy for metastatic renal cell carcinoma in the era of targeted therapy in the United States: a SEER analysis.  World Journal of Urology. 2013 Dec; 31(6):1535-9.

21.   Small AC, Tsao, CK, Moshier EL, Gartrell BA, Wisnivesky JP, Godbold J, Smith CB, Sonpavde G, Oh WK, Galsky MD. Prevalence and characteristics of patients with metastatic cancer who receive no anticancer therapy. Cancer. 2012 Dec 1; 118(23):5947-54.

22.   Small AC, Tsao CK, Moshier EL, Gartrell BA, Wisnivesky JP, Godbold J, Sonpavde G, Palese MA, Hall SJ, Oh WK, Galsky MD.  Trends and variations in utilization of nephron-sparing procedures for stage I kidney cancer in the United States.  World Journal of Urology. 2013 Oct; 31(5):1211-7.

23.   Tsao CK, Small AC, Moshier EL, Gartrell BA, Wisnivesky JP, Sonpavde G, Godbold J, Palese MP, Hall SJ, Oh WK, Galsky MD. Trends in the Use of Cytoreductive Nephrectomy in the United States. Clinical Genitourinary Cancer. 2012 Sep; 10(3):159-63.

24.   Lavery H, Small AC, Samadi D, Palese MP. Transition from laparoscopic to robotic partial nephrectomy: the learning curve for an experienced laparoscopic surgeon. Journal of the Society of Laparoscopic Surgeons (JSLS). 2011 Jul-Sep; 15(3):291-7.

25.   Small AC, Kampman KM, Plebani J, De Jesus Quinn M, Peoples L, Lynch K.  Tolerance and Sensitization to the Effects of Cocaine Use in Humans:  A retrospective Study of Long Term Cocaine Users in Philadelphia.  Substance Use and Misuse. 2009; 44(13):1888-98.

Reviews:

1.       Smigelski M, Movassaghi M, Small A. Urology Virtual Education Programs During the COVID-19 Pandemic. Current Urology Reports. 2020 Oct 22;21(12):50.

2.       Pfail J, Small AC, Cumarasamy S, Galsky MD. Real world outcomes of patients with bladder cancer: Effectiveness versus efficacy of modern treatment paradigms. Hematology/Oncology Clinics: Bladder Cancer Issue. 2021 June;35(3):597-612.

3.       Small AC, Shah O, Healy K. Emerging Mobile Platforms to Aid in Stone Management. Urologic Clinics of North America. 2019 May; 46(2):287-301.

4.       Gaffney CD, Pagano MJ, Weinberg AC, Small AC, Kuehas FE, Egydio PH, Valenzuela RJ. Lengthening strategies for Peyronie’s disease. Translational Andrology and Urology. 2016 Jun; 5(3):351-62.

5.       Tsao CK, Small AC, Hall SJ, Oh WK, Galsky MD, Buckstein M, Stock R, Ali G, Morris GJ. Current Clinical Practice: T2 Muscle-Invasive Bladder Cancer. Seminars in Oncology. 2014 Apr; 41(2):e11-e18.

6.       Tsao CK, Galsky MD, Small AC, Yee T, Oh WK. Targeting the Androgen-Androgen Receptor Signaling Axis in Castration Resistant Prostate Cancer. BJU International.  2012 Dec;110(11):1580-8.

7.       Small AC, Oh WK.  Bevacizumab treatment of prostate cancer. Expert Opinion on Biological Therapy. 2012 Sep; 12(9):1241-9.

8.       Galsky MD, Small AC, Tsao CK, Oh WK.  Clinical Development of Novel Therapeutics for Castration-Resistant Prostate Cancer:  Historic Challenges and Recent Successes. CA: A Cancer Journal for Clinicians. 2012 Sep; 62(5):299-308.

9.       Small AC, Gong Y, Oh WK, Hall SJ, van Rijn CJM, Galsky MD.  The Emerging Role for Circulating Tumor Cell Detection in Genitourinary Cancers.  Journal of Urology.  2012 Jul; 188(1):21-6.

10.   Tsao CK, Small AC, Galsky MD, Oh WK.  Overcoming Castration Resistance in Prostate Cancer. Current Opinions in Urology. 2012 May; 22(3):167-74.

Book Chapters:

1.       Small AC, Alam S. Renal Transplantation, In: Kelalis-King-Belman Textbook of Clinical Pediatric Urology. Docimo SG, Canning D, Khoury A, Pippi Salle JL eds. CRC Press, November 2018.

2.       Lipsky MJ, Small AC, Mlynarczyk CM, Badalato GM, Rutman MP. Open Simple Prostatectomy for BPH, In: A Comprehensive Guide to the Prostate: Eastern and Western Approaches for Management of BPH. Chughtai B ed., Elsevier Academic Press, 107-120, 2018.

3.       Small AC, Lipsky MJ, Finkelstein JB, Casale P. Ureteral Reimplantation, In: Pediatric Robotic Surgery: Technical and Management Aspects. Mattioli G and Petralia P eds., Springer, 65-76, 2017.

4.       Small AC, Palese MA. Ethanol injection of the prostate. Treatment of Benign Prostatic Hyperplasia: Modern Alternative to Transurethral Resection of the Prostate. Chughtai B, Te AE, and Kaplan S eds., Springer, 163-172, 2015.

5.       Gartrell BA, Small AC, Oh WK, Galsky MD.  Renal Cell Carcinoma and Targeted Therapy, In: Targeted Therapy in Translational Cancer Research. Tsimberidou AM and Anderson KC eds., Wiley-Blackwell, 287-295, 2015.

Editorials and Letters:

1.       Tomer N, Garden E, Small AC, Palese MA. Reply to editorial comment on “Stent Encrustation: Epidemiology, Pathophysiology, and Management.” Journal of Urology. 2021 Jan;205(1):68-77.

2.       Tomer N, Garden E, Small AC, Palese MA. Stent Encrustation: Epidemiology, Pathophysiology, and Management. Journal of Urology. 2021 Jan;205(1):68-77.

3.       Palese M, Small A. Editorial Comment on “The Urine Albumin-to-Creatinine Ratio and Kidney Function after Nephrectomy.” Journal of Urology. 2020 August; 204(2):237-8.

4.       Small AC, Levy LL. Letter to the Editor: In Support of Medical Student Research. Academic Medicine. 2013 Nov; 88(11):1592.

Non-Peer Reviewed Articles, Blog Posts and Other Media:

1.       James Young, Evan Garden, Osama Al-Alao, Darren Deoraj, Alexander Small, Gregory Hruby, Aaron Grotas, Michael Palese. “Disposable versus Reusable Cystoscopes: A Micro-Costing Value Analysis in High-Volume and Low-Volume Urology Practices.” AUA News. July 2021.

2.       Miyad Movassaghi, Akhil Saji, Michael Smigelski, Jennifer Nauheim, Alex Small, Gina Badalato. “New York Section EMPIRE Virtual Lecture Series: Updates and Next Steps.” AUA News. June 2021.

3.       Michael Palese and Alexander Small. “Management of Transplant Nephrolithiasis.” Boston Scientific #StoneSmart video series. August 2020. https://stonesmart.urologytimes.com/video/management-transplant-nephrolithiasis 

4.       Michael Ernst, Michael Smigelski, Miyad Movasaghi, and Alexander Small. “Staying social, despite the distance: How we came together to learn urology.” AUA News: Residents & Fellows Committee News. August 2020.

5.       Alexander Small and Rich Matulewicz. “Acute care urology during the pandemic: lessons learned.” Urology Times. April 23, 2020, https://www.urologytimes.com/coronavirus/acute-care-urology-during-pandemic-lessons-learned.

6.       Alexander Small and Elisabeth Sebesta. “Urology Trainees on the Front Lines of COVID-19 in New York City” AUA Inside Tract Podcast. Episode 102; April 20, 2020. https://www.auanet.org/podcast/urology-trainees-on-the-front-lines-of-covid-19-in-new-york-city.