2. 27-2
General Structure and Functions
of the Urinary System
īŽ General Concept:
īŽ Waste products accumulate in blood
īŽ Are toxic
īŽ Must be removed to maintain
homeostasis
īŽ Urinary System organs
īŽ remove waste products from the blood
īŽ then from the body
īŽ Major homeostatic system
3. 27-3
General Structure and Functions
of the Urinary System
īŽ Organs of the Urinary System:
īŽ Kidneys
īŽ Ureters
īŽ Urinary Bladder
īŽ Urethra
īŽ Primary organs: kidneys
īŽ filter waste products from the bloodstream
īŽ convert the filtrate into urine.
īŽ The Urinary Tract:
īŽ Includes:
īŽ ureters
īŽ urinary bladder
īŽ urethra
īŽ Because they transport the urine out of the body.
7. 27-7
Functions of the Urinary System
īŽ Removing waste products from the bloodstream.
īŽ Storage of urine.
īŽ the urinary bladder is an expandable, muscular sac that can
store as much as 1 liter of urine
īŽ Excretion of urine.
īŽ Blood volume regulation.
īŽ the kidneys control the volume of interstitial fluid and blood
under the direction of certain hormones
īŽ Regulation of erythrocyte production.
īŽ as the kidneys filter the blood, they are also indirectly
measuring the oxygen level in the blood
īŽ Erythropoietin (EPO): hormone produced by kidney
īŽ Released if blood oxygen levels fall
īŽ Stimulates RBC production in red bone marrow
8. 27-8
Kidneys: Gross and Sectional
Anatomy
īŽ Retroperitoneal
īŽ Anterior surface covered with peritoneum
īŽ Posterior surface against posterior
abdominal wall
īŽ Superior pole: T-12
īŽ Inferior pole: L-3
īŽ Right kidney ~ 2cm lower than left
īŽ Adrenal gland on superior pole
13. 27-13
Kidneys: Gross and Sectional
Anatomy
īŽ Sectioned on a coronal plane:
īŽ Renal Cortex
īŽ Renal arches
īŽ Renal columns
īŽ Renal Medulla
īŽ Divided into renal pyramids
īŽ 8 to 15 per kidney
īŽ Base against cortex
īŽ Apex called renal papilla
14. 27-14
Kidneys: Gross and Sectional
Anatomy
īŽ Minor calyx:
īŽ Funnel shaped
īŽ Receives renal papilla
īŽ 8 to 15 per kidney, one per pyramid
īŽ Major calyx
īŽ Fusion of minor calyces
īŽ 2 to 3 per kidney
īŽ Major calyces merge to form renal pelvis
īŽ Renal Lobe
īŽ Pyramid plus some cortical tissue
īŽ 8 to 15 per kidney
17. 27-17
Blood Supply to the Kidney
īŽ About 20 to 25% of cardiac output to
kidneys
īŽ Path:
īŽ Renal artery to segmental arteries to
interlobar arteries to arcuate arteries to
interlobular arteries to:
īŽ Afferent arteriole to glomerulus to efferent
arteriole to peritubular capilaries and vasa
recta
19. 27-19
Blood Supply to the Kidney
īŽ Blood plasma is filtered across the glomerulus
into the glomerular space.
īŽ Once the blood plasma is filtered
īŽ blood leaves the glomerulus
īŽ enters an efferent arteriole.
īŽ efferent arteriole is still carrying oxygenated
blood
īŽ a gas and nutrient exchange with the kidney
tissues has not yet occurred.
20. 27-20
Blood Supply to the Kidney
īŽ The efferent arterioles branch into one of two
types of capillary networks:
īŽ peritubular capillaries
īŽ vasa recta
īŽ these capillary networks are responsible for
the actual exchange of gases and nutrients
īŽ Peritubular capillaries: primarily in cortex
īŽ Vasa recta: surround the thin tubes that
project into the medulla.
21. 27-21
Blood Supply to the Kidney
īŽ Path for veins:
īŽ Interlobar veins to arcuate veins to
interlobar veins to the renal vein
23. 27-23
Nephrons
īŽ The functional filtration unit in the kidney.
īŽ Consists of the following:
īŽ Renal corpuscle
īŽ Glomerulus
īŽ Glomerular capsule (Bowmanâs capsule)
īŽ Proximal convoluted tubule (PCT)
īŽ Nephron loop (loop of Henle)
īŽ Ascending loop of Henle
īŽ Descending loop of Henle
īŽ Distal convoluted tubule (DCT)
īŽ collectively called the renal tubule
īŽ In both kidneys: approximately 2.5 million nephrons.
īŽ Are microscopic: measure about 5 centimeters in
length.
24. 27-24
Nephrons
īŽ Cortical Nephrons
īŽ Near peripheral edge of cortex
īŽ Short nephron loops
īŽ Have peritubular capillaries
īŽ Juxtamedullary nephrons
īŽ Near corticomedullary border
īŽ Long nephron loops
īŽ Have vasa recta
26. 27-26
Urine Formation
īŽ Three processes
īŽ Filtration
īŽ Renal corpuscle: forms filtrate
īŽ From blood to tubule
īŽ Reabsorption
īŽ Mostly PCT
īŽ Water and salt: rest of nephron
īŽ From tubule to blood
īŽ Secretion
īŽ From blood to tubule
27. 27-27
Renal Corpuscle
īŽ Vascular pole
īŽ Afferent and efferent arterioles
īŽ Tubular pole
īŽ Connects to PCT
īŽ Two structures:
īŽ Glomerulus and glomerular capsule
īŽ Glomerulus
īŽ Capillary bed
īŽ High pressure
īŽ fenestrations
31. 27-31
Proximal Convoluted Tubule
īŽ Begins at tubular pole of the renal corpuscle.
īŽ Cells: simple cuboidal epithelium
īŽ actively reabsorb from the filtrate:
īŽ almost all nutrients (glucose and amino acids)
īŽ electrolytes
īŽ plasma proteins
īŽ Osmosis: reabsorption of 60% to 65% of the
water in filtrate.
īŽ Have microvilli
īŽ Solutes and water:
īŽ moved into blood plasma
īŽ via the peritubular capillaries.
32. 27-32
Nephron Loop (loop of Henle)
īŽ originates at end of proximal convoluted tubule
īŽ projects toward and/or into the medulla.
īŽ Each loop has two limbs.
īŽ descending limb:
īŽ from cortex toward and/or into the medulla
īŽ ascending limb:
īŽ returns back to the renal cortex
35. 27-35
Distal Convoluted Tubule
īŽ begins at the end of the thick ascending limb of the
nephron loop
īŽ adjacent to the afferent arteriole (important physiologically)
īŽ Juxtaglomerular apparatus.
īŽ primary function:
īŽ Secretion
īŽ From blood plasma to filtrate.
īŽ secretes ions
īŽ potassium (K+)
īŽ acid (H+)
īŽ Reabsorption of water also occurs:
īŽ influenced by two hormones
īŽ Aldosterone
īŽ antidiuretic hormone (ADH).
36. 27-36
Collecting Collecting Ducts
īŽ Function in a well hydrated person:
īŽ transport the tubular fluid into the papillary duct and then
into the minor calyx.
īŽ Function in a dehydrated person:
īŽ water conservation
īŽ more-concentrated urine is produced.
īŽ ADH can act on the collecting duct epithelium
īŽ Cells become permeable to water
īŽ Water moves from filtrate into blood plasma
īŽ Involves vasa recta.
37. 27-37
Innervation of the Kidney
īŽ innervated by a mass of autonomic nervous system
fibers
īŽ called the renal plexus.
īŽ The renal plexus
īŽ accompanies each renal artery
īŽ enters the kidney through the hilum.
38. 27-38
Urinary Tract : Ureters
īŽ long, fibromuscular tubes
īŽ conduct urine from the kidneys to the urinary
bladder.
īŽ average 25 centimeters in length
īŽ retroperitoneal.
īŽ ureters originate at the renal pelvis
īŽ extend inferiorly to enter the posterolateral wall of
the base of the urinary bladder.
īŽ wall is composed of three concentric tunics.
īŽ mucosa
īŽ muscularis
īŽ adventitia.
39. 27-39
Urinary Tract â Urinary Bladder
īŽ The urinary bladder:
īŽ expandable, muscular container
īŽ serves as a reservoir for urine
īŽ positioned immediately superior and posterior to the pubic
symphysis.
īŽ in females
īŽ the urinary bladder is in contact with the uterus posterosuperiorly
and with the vagina posteroinferiorly.
īŽ in males
īŽ it is in contact with the rectum posterosuperiorly and is
immediately superior to the prostate gland.
īŽ is a retroperitoneal organ.
īŽ when empty exhibits an upside-down pyramidal shape.
īŽ Filling with urine distends it superiorly until it assumes an oval
shape.
40. 27-40
Urinary Tract â Urinary Bladder
īŽ Trigone
īŽ posteroinferior triangular area of the urinary bladder wall
īŽ formed by imaginary lines
īŽ connect the two posterior ureteral openings
īŽ and the anterior urethral opening.
īŽ The trigone remains immovable as the urinary
bladder fills and evacuates.
īŽ It functions as a funnel
īŽ directs urine into the urethra as the bladder wall contracts
īŽ four tunics
īŽ mucosa
īŽ submucosa
īŽ Muscularis: called the detrusor muscle
īŽ adventitia.
īŽ Internal urethral sphincter (smooth muscle)
44. 27-44
Micturition (Urination)
īŽ The expulsion of urine from the bladder.
īŽ Initiated by a complex sequence of events called the
micturition reflex.
īŽ The bladder is supplied by both parasympathetic and
sympathetic nerve fibers of the autonomic nervous
system.
45. 27-45
Urethra
īŽ Fibromuscular tube
īŽ exits the urinary bladder through the urethral opening
īŽ at anteroinferior surface
īŽ conducts urine to the exterior of the body.
īŽ Tunica mucosa: is a protective mucous membrane
īŽ houses clusters of mucin-producing cells called urethral
glands.
īŽ Tunica muscularis: primarily smooth muscle fibers
īŽ help propel urine to the outside of the body.
īŽ Two urethral sphincters:
īŽ Internal urethral sphincter
īŽ restrict the release of urine until the pressure within the urinary
bladder is high enough
īŽ External urethral sphincter
īŽ and voluntary activities needed to release the urine are
activated.
46. 27-46
Urethra
īŽ The internal urethral sphincter
īŽ involuntary (smooth muscle)
īŽ superior sphincter surrounding the neck of the bladder,
where the urethra originates.
īŽ a circular thickening of the detrusor muscle
īŽ controlled by the autonomic nervous system
īŽ The external urethral sphincter
īŽ inferior to the internal urethral sphincter
īŽ formed by skeletal muscle fibers of the urogenital
diaphragm.
īŽ a voluntary sphincter
īŽ controlled by the somatic nervous system
īŽ this is the muscle children learn to control when they
become âtoilet-trainedâ
47. 27-47
Female Urethra
īŽ Has a single function:
īŽ to transport urine from the urinary bladder to the vestibule,
an external space immediately internal to the labia minora
īŽ 3 to 5 centimeters long, and opens to the outside of
the body at the external urethral orifice located in the
female perineum.
49. 27-49
Male Urethra
īŽ Urinary and reproductive functions:
īŽ passageway for both urine and semen
īŽ Approximately 18 to 20 centimeters long.
īŽ Partitioned into three segments:
īŽ prostatic urethra is approximately 3 to 4 centimeters long and is the
most dilatable portion of the urethra
īŽ extends through the prostate gland, immediately inferior to the male
bladder, where multiple small prostatic ducts enter it
īŽ membranous urethra is the shortest and least dilatable portion
īŽ extends from the inferior surface of the prostate gland through the
urogenital diaphragm
īŽ spongy urethra is the longest part (15 centimeters)
īŽ encased within a cylinder of erectile tissue in the penis called the
corpus spongiosum
īŽ extends to the external urethral orifice
51. 27-51
Aging and the Urinary System
īŽ Changes in the size and functioning of the kidneys begin at 30.
īŽ Gradual reduction in kidney size.
īŽ Reduced blood flow to the kidneys.
īŽ Decrease in the number of functional nephrons.
īŽ Reabsorption and secretion are reduced.
īŽ Diminished ability to filter and cleanse the blood.
īŽ Less aldosterone or antidiuretic hormone.
īŽ Ability to control blood volume and blood pressure is reduced.
īŽ Bladder decreases in size.
īŽ More frequent urination.
īŽ Control of the urethral sphinctersâand micturitionâmay be lost.