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© 2012 Pearson Education, Inc. 
26 
The Urinary System 
PowerPoint® Lecture Presentations prepared by 
Steven Bassett 
Southeast Community College 
Lincoln, Nebraska
Introduction 
The urinary system includes the kidneys, the ureters, 
the urinary bladder, and the urethra. 
 Performs vital excretory functions: 
 Regulating plasma concentrations of ions 
 Regulating blood volume and blood pressure by 
adjusting the volume of water lost in the urine, 
releasing erythropoietin, and releasing renin 
 Contributing to the stabilization of blood pH 
 Conserving valuable nutrients 
 Eliminating organic waste products 
 Synthesizing calcitriol. 
 Assisting the liver in detoxifying poisons 
© 2012 Pearson Education, Inc.
Introduction 
• The urinary system consists of: 
• Kidneys 
• And the associated nephrons 
• Ureters 
• Urinary bladder 
• Urethra 
© 2012 Pearson Education, Inc.
Figure 26.1a An Introduction to the Urinary System 
Kidney 
Produces urine 
Ureter 
Transports urine 
toward the 
urinary bladder 
Urinary bladder 
Temporarily stores 
urine prior 
to elimination 
© 2012 Pearson Education, Inc. 
Anterior view showing the 
components of the urinary system 
Urethra 
Conducts urine to 
exterior; in males, 
transports semen 
as well 
Suprarenal gland 
Renal artery 
and vein 
Inferior 
vena cava 
Aorta
The Kidneys 
Urine-producing organ of the urinary system 
 Two kidneys in the retroperitoneal area 
 Left kidney is higher than the right kidney 
On top of each kidney a suprarenal gland is sitting. 
 Contain millions of tiny nephrons 
Blood is provided to the nephrones for filtration through 
afferent arterioles. 
The filtrate passes through the renal tubules and final 
product (urine) reaches the collecting duct. The urine 
leaves the collecting ducts towards minor and major 
calyces. Urine from major calyces enter into the renal 
pelvis, before leaves the kidney through ureters to the 
bladder. 
© 2012 Pearson Education, Inc.
Figure 26.1c An Introduction to the Urinary System 
Diagrammatic cross section, as viewed from above, at 
the level indicated in part (b) 
External 
oblique 
Stomach 
Parietal 
peritoneum 
Ureter 
Spleen 
Anterior 
renal 
fascia 
Left 
kidney 
© 2012 Pearson Education, Inc. 
Renal vein 
Renal artery 
Inferior 
vena cava 
Aorta 
Adipose 
tissue 
Spinal 
cord 
Psoas 
major 
Quadratus 
lumborum 
Pararenal 
fat 
Perinephric 
fat 
Posterior 
renal fascia 
Fibrous 
capsule 
Pancreas 
Vertebra
Figure 26.2a The Urinary System in Gross Dissection 
Diaphragm 
Inferior vena cava 
Celiac trunk 
Right suprarenal 
gland 
Right kidney 
Hilum 
Quadratus 
lumborum 
muscle 
Iliacus muscle 
Psoas major 
muscle 
Peritoneum 
(cut) 
Rectum (cut) 
Urinary bladder 
Diagrammatic anterior view of the abdominopelvic cavity showing 
the kidneys, suprarenal glands, ureters, urinary bladder, and blood 
supply to the kidneys 
© 2012 Pearson Education, Inc. 
Esophagus (cut) 
Left suprarenal gland 
Left kidney 
Left renal artery 
Left renal vein 
Superior 
mesenteric 
artery 
Left ureter 
Abdominal 
aorta 
Left common 
iliac artery 
Gonadal artery 
and vein
Figure 26.3a Structure of the Kidney 
Inner layer of 
fibrous capsule 
© 2012 Pearson Education, Inc. 
Medulla 
Hilum 
Ureter 
Frontal section through the left kidney showing 
major structures. The outlines of a renal lobe and a 
renal pyramid are indicated by dotted lines. 
Renal sinus 
Adipose tissue 
in renal sinus 
Renal pelvis 
Hilum 
Renal papilla 
Ureter 
Major calyx 
Cortex 
Medulla 
Renal 
pyramid 
Connection to 
minor calyx 
Minor 
calyx 
Renal lobe 
Renal columns 
Outer layer of 
fibrous capsule 
Outer layer of 
fibrous capsule 
Renal 
pyramids 
Renal sinus 
Inner layer of 
fibrous capsule 
Renal pelvis 
Major calyx 
Minor calyx 
Renal papilla 
Renal lobe 
Fibrous capsule
Figure 26.4a Blood Supply to the Kidneys 
Interlobular 
veins 
Cortical 
radiate 
arteries 
Interlobar 
arteries 
Segmental 
artery 
Suprarenal 
artery 
Renal 
artery 
Renal 
vein 
© 2012 Pearson Education, Inc. 
Sectional view showing major arteries and 
veins. Compare with Figures 26.3 and 26.8. 
Arcuate 
veins 
Arcuate 
arteries 
Interlobar 
veins
© 2012 Pearson Education, Inc.
The Kidneys 
• Structure and Function of the Nephron 
• Waste (glomerular filtrate) material leaves the 
glomerular capillaries and enters: 
• Glomerular capsule 
• Proximal convoluted tubule (PCT) 
• Nephron loop 
• Distal convoluted tubule (DCT) 
© 2012 Pearson Education, Inc.
The Kidneys 
• Structure and Function of the Nephron 
• Filtrate enters the DCT of several nephrons and 
empties into a common tube called the 
collecting duct 
• Filtrate enters the papillary duct 
• Minor calyx 
• Major calyx 
• Ureter 
• Urinary bladder 
• Urethra 
© 2012 Pearson Education, Inc.
Figure 26.7a Histology of the Nephron 
© 2012 Pearson Education, Inc. 
Cortical 
nephron 
Juxtamedullary 
nephron 
Orientation of cortical and juxtamedullary 
nephrons 
Proximal convoluted 
tubule 
Renal corpuscle 
Distal convoluted 
tubule 
Connecting tubules 
Nephron 
loop 
Thin descending 
limb 
Thick ascending 
limb 
Collecting duct 
Papillary duct 
Renal papilla 
Minor calyx 
Cortex 
Medulla
Figure 26.7ac Histology of the Nephron 
Orientation of cortical and juxtamedullary 
nephrons 
© 2012 Pearson Education, Inc. 
Cortical 
nephron 
Juxtamedullary 
nephron 
Proximal convoluted 
tubule 
Renal corpuscle 
Distal convoluted 
tubule 
Connecting tubules 
Nephron 
loop 
Thin descending 
limb 
Thick ascending 
limb 
Collecting duct 
Papillary duct 
Renal papilla 
Minor calyx 
Cortex 
Medulla 
Renal corpuscle LM ´ 140 
The renal corpuscle 
Visceral epithelium 
Parietal epithelium 
Capsular space 
Distal convoluted 
tubule 
Proximal convoluted 
tubule 
Glomerulus
Figure 26.6 A Typical Nephron 
© 2012 Pearson Education, Inc. 
NEPHRON 
PROXIMAL CONVOLUTED TUBULE 
DISTAL CONVOLUTED TUBULE 
RENAL CORPUSCLE 
NEPHRON LOOP 
COLLECTING SYSTEM 
Connecting tubules 
CONNECTING TUBULES 
AND COLLECTING DUCT 
Variable reabsorption 
of water and 
reabsorption or 
secretion of 
sodium, potassium, 
hydrogen, and 
bicarbonate ions 
PAPILLARY DUCT 
Nucleus 
Microvilli 
Mitochondria 
Reabsorption of water, ions, and 
all organic nutrients 
Secretion of 
ions, acids, 
drugs, toxins 
Variable reabsorption of water, 
sodium ions, and calcium ions 
(under hormonal control) 
Renal tubule 
Efferent arteriole 
Afferent arteriole 
Ascending 
limb of 
loop ends 
Ascending 
limb 
Descending 
limb of 
loop ends 
Descending 
limb 
Parietal (capsular) 
epithelium 
Capsular space 
Visceral 
(glomerular) 
epithelium 
Capillaries of 
glomerulus 
Production of filtrate 
Thin 
descending 
limb 
Thick 
ascending 
limb 
Further reabsorption of water (descending limb) and 
both sodium and chloride ions (ascending limb) 
Minor 
calyx 
Delivery of 
urine to 
minor calyx 
Collecting duct
Figure 26.8c The Renal Corpuscle 
Macula densa 
© 2012 Pearson Education, Inc. 
The renal corpuscle. 
Arrows show the 
pathway of blood 
flow. 
Efferent 
arteriole 
Distal convoluted 
tubule 
Juxtaglomerular 
complex 
Juxtaglomerular 
cells 
Extraglomerular 
mesangial cells 
Afferent 
arteriole 
Glomerular capsule 
Tubular 
pole 
Proximal 
convoluted 
tubule 
Capsular space 
Glomerular 
capillary 
Parietal 
epithelium 
Visceral 
epithelium 
(podocyte) 
Vascular pole
© 2012 Pearson Education, Inc.
Structures for Urine Transport, Storage, and 
Elimination 
 Ureters 
 Urinary bladder 
Contains detrusor muscle, which compresses the 
urinary bladder to eliminate the urine. 
Voluntary urination needs compression of detrusor 
muscle and relaxation of external sphincter. 
 Urethra 
There are significant differences between the male and 
female urethra. 
The parts of urethra in male: 
 Prostatic urethra 
 Membranous urethra 
 Penile urethra 
© 2012 Pearson Education, Inc.
Figure 26.10 Organs Responsible for the Conduction and Storage of Urine 
Peritoneum Left ureter Rectum 
Urinary 
bladder 
External 
urethral 
sphincter 
Spongy 
urethra 
Median umbilical 
ligament (urachus) 
Ureter 
Lateral 
umbilical 
ligament 
Detrusor 
muscle 
Ureteral 
openings 
Internal urethral 
sphincter 
© 2012 Pearson Education, Inc. 
Anatomy of the urinary 
bladder in a male 
Position of the ureter, urinary 
bladder, and urethra in the female 
Right 
ureter 
Base of 
urinary 
bladder 
The male urinary bladder and accessory reproductive 
structures as seen in posterior view 
Position of the ureter, urinary 
bladder, and urethra in the male 
Pubic 
symphysis 
Prostate 
gland 
Urogenital 
diaphragm 
Urethra 
[see part c] 
External 
urethral 
orifice 
Vestibule 
Rectum 
Right ureter 
Uterus 
Peritoneum 
Urinary 
bladder 
Pubic 
symphysis 
Internal urethral 
sphincter 
Urethra 
External urethral 
sphincter (in 
urogenital diaphragm) 
Vagina 
Peritoneum 
Ductus 
deferens 
Seminal 
gland 
Posterior surface 
of prostate gland 
Prostatic 
urethra 
Trigone 
Center of 
trigone 
Neck of 
urinary 
bladder 
Prostate 
gland 
Prostatic 
urethra 
Membranous 
urethra 
External urethral 
sphincter (in urogenital 
diaphragm) 
Rugae
Aging and the Urinary System 
A decline in the number of functional nephrons 
 A reduction in glomerular filtration 
 Reduced sensitivity to ADH 
 Problems with the micturition reflex related to the 
following factors: 
 Loss of tone in sphincter muscles leading to 
incontinence 
 Strokes, Alzheimer’s disease, or other CNS problems 
impair ability to control micturition 
 Urinary retention may develop in men whose prostrate 
glands are enlarged 
© 2012 Pearson Education, Inc.

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Ch 26_lecture_presentation

  • 1. © 2012 Pearson Education, Inc. 26 The Urinary System PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska
  • 2. Introduction The urinary system includes the kidneys, the ureters, the urinary bladder, and the urethra.  Performs vital excretory functions:  Regulating plasma concentrations of ions  Regulating blood volume and blood pressure by adjusting the volume of water lost in the urine, releasing erythropoietin, and releasing renin  Contributing to the stabilization of blood pH  Conserving valuable nutrients  Eliminating organic waste products  Synthesizing calcitriol.  Assisting the liver in detoxifying poisons © 2012 Pearson Education, Inc.
  • 3. Introduction • The urinary system consists of: • Kidneys • And the associated nephrons • Ureters • Urinary bladder • Urethra © 2012 Pearson Education, Inc.
  • 4. Figure 26.1a An Introduction to the Urinary System Kidney Produces urine Ureter Transports urine toward the urinary bladder Urinary bladder Temporarily stores urine prior to elimination © 2012 Pearson Education, Inc. Anterior view showing the components of the urinary system Urethra Conducts urine to exterior; in males, transports semen as well Suprarenal gland Renal artery and vein Inferior vena cava Aorta
  • 5. The Kidneys Urine-producing organ of the urinary system  Two kidneys in the retroperitoneal area  Left kidney is higher than the right kidney On top of each kidney a suprarenal gland is sitting.  Contain millions of tiny nephrons Blood is provided to the nephrones for filtration through afferent arterioles. The filtrate passes through the renal tubules and final product (urine) reaches the collecting duct. The urine leaves the collecting ducts towards minor and major calyces. Urine from major calyces enter into the renal pelvis, before leaves the kidney through ureters to the bladder. © 2012 Pearson Education, Inc.
  • 6. Figure 26.1c An Introduction to the Urinary System Diagrammatic cross section, as viewed from above, at the level indicated in part (b) External oblique Stomach Parietal peritoneum Ureter Spleen Anterior renal fascia Left kidney © 2012 Pearson Education, Inc. Renal vein Renal artery Inferior vena cava Aorta Adipose tissue Spinal cord Psoas major Quadratus lumborum Pararenal fat Perinephric fat Posterior renal fascia Fibrous capsule Pancreas Vertebra
  • 7. Figure 26.2a The Urinary System in Gross Dissection Diaphragm Inferior vena cava Celiac trunk Right suprarenal gland Right kidney Hilum Quadratus lumborum muscle Iliacus muscle Psoas major muscle Peritoneum (cut) Rectum (cut) Urinary bladder Diagrammatic anterior view of the abdominopelvic cavity showing the kidneys, suprarenal glands, ureters, urinary bladder, and blood supply to the kidneys © 2012 Pearson Education, Inc. Esophagus (cut) Left suprarenal gland Left kidney Left renal artery Left renal vein Superior mesenteric artery Left ureter Abdominal aorta Left common iliac artery Gonadal artery and vein
  • 8. Figure 26.3a Structure of the Kidney Inner layer of fibrous capsule © 2012 Pearson Education, Inc. Medulla Hilum Ureter Frontal section through the left kidney showing major structures. The outlines of a renal lobe and a renal pyramid are indicated by dotted lines. Renal sinus Adipose tissue in renal sinus Renal pelvis Hilum Renal papilla Ureter Major calyx Cortex Medulla Renal pyramid Connection to minor calyx Minor calyx Renal lobe Renal columns Outer layer of fibrous capsule Outer layer of fibrous capsule Renal pyramids Renal sinus Inner layer of fibrous capsule Renal pelvis Major calyx Minor calyx Renal papilla Renal lobe Fibrous capsule
  • 9. Figure 26.4a Blood Supply to the Kidneys Interlobular veins Cortical radiate arteries Interlobar arteries Segmental artery Suprarenal artery Renal artery Renal vein © 2012 Pearson Education, Inc. Sectional view showing major arteries and veins. Compare with Figures 26.3 and 26.8. Arcuate veins Arcuate arteries Interlobar veins
  • 10. © 2012 Pearson Education, Inc.
  • 11. The Kidneys • Structure and Function of the Nephron • Waste (glomerular filtrate) material leaves the glomerular capillaries and enters: • Glomerular capsule • Proximal convoluted tubule (PCT) • Nephron loop • Distal convoluted tubule (DCT) © 2012 Pearson Education, Inc.
  • 12. The Kidneys • Structure and Function of the Nephron • Filtrate enters the DCT of several nephrons and empties into a common tube called the collecting duct • Filtrate enters the papillary duct • Minor calyx • Major calyx • Ureter • Urinary bladder • Urethra © 2012 Pearson Education, Inc.
  • 13. Figure 26.7a Histology of the Nephron © 2012 Pearson Education, Inc. Cortical nephron Juxtamedullary nephron Orientation of cortical and juxtamedullary nephrons Proximal convoluted tubule Renal corpuscle Distal convoluted tubule Connecting tubules Nephron loop Thin descending limb Thick ascending limb Collecting duct Papillary duct Renal papilla Minor calyx Cortex Medulla
  • 14. Figure 26.7ac Histology of the Nephron Orientation of cortical and juxtamedullary nephrons © 2012 Pearson Education, Inc. Cortical nephron Juxtamedullary nephron Proximal convoluted tubule Renal corpuscle Distal convoluted tubule Connecting tubules Nephron loop Thin descending limb Thick ascending limb Collecting duct Papillary duct Renal papilla Minor calyx Cortex Medulla Renal corpuscle LM ´ 140 The renal corpuscle Visceral epithelium Parietal epithelium Capsular space Distal convoluted tubule Proximal convoluted tubule Glomerulus
  • 15. Figure 26.6 A Typical Nephron © 2012 Pearson Education, Inc. NEPHRON PROXIMAL CONVOLUTED TUBULE DISTAL CONVOLUTED TUBULE RENAL CORPUSCLE NEPHRON LOOP COLLECTING SYSTEM Connecting tubules CONNECTING TUBULES AND COLLECTING DUCT Variable reabsorption of water and reabsorption or secretion of sodium, potassium, hydrogen, and bicarbonate ions PAPILLARY DUCT Nucleus Microvilli Mitochondria Reabsorption of water, ions, and all organic nutrients Secretion of ions, acids, drugs, toxins Variable reabsorption of water, sodium ions, and calcium ions (under hormonal control) Renal tubule Efferent arteriole Afferent arteriole Ascending limb of loop ends Ascending limb Descending limb of loop ends Descending limb Parietal (capsular) epithelium Capsular space Visceral (glomerular) epithelium Capillaries of glomerulus Production of filtrate Thin descending limb Thick ascending limb Further reabsorption of water (descending limb) and both sodium and chloride ions (ascending limb) Minor calyx Delivery of urine to minor calyx Collecting duct
  • 16. Figure 26.8c The Renal Corpuscle Macula densa © 2012 Pearson Education, Inc. The renal corpuscle. Arrows show the pathway of blood flow. Efferent arteriole Distal convoluted tubule Juxtaglomerular complex Juxtaglomerular cells Extraglomerular mesangial cells Afferent arteriole Glomerular capsule Tubular pole Proximal convoluted tubule Capsular space Glomerular capillary Parietal epithelium Visceral epithelium (podocyte) Vascular pole
  • 17. © 2012 Pearson Education, Inc.
  • 18. Structures for Urine Transport, Storage, and Elimination  Ureters  Urinary bladder Contains detrusor muscle, which compresses the urinary bladder to eliminate the urine. Voluntary urination needs compression of detrusor muscle and relaxation of external sphincter.  Urethra There are significant differences between the male and female urethra. The parts of urethra in male:  Prostatic urethra  Membranous urethra  Penile urethra © 2012 Pearson Education, Inc.
  • 19. Figure 26.10 Organs Responsible for the Conduction and Storage of Urine Peritoneum Left ureter Rectum Urinary bladder External urethral sphincter Spongy urethra Median umbilical ligament (urachus) Ureter Lateral umbilical ligament Detrusor muscle Ureteral openings Internal urethral sphincter © 2012 Pearson Education, Inc. Anatomy of the urinary bladder in a male Position of the ureter, urinary bladder, and urethra in the female Right ureter Base of urinary bladder The male urinary bladder and accessory reproductive structures as seen in posterior view Position of the ureter, urinary bladder, and urethra in the male Pubic symphysis Prostate gland Urogenital diaphragm Urethra [see part c] External urethral orifice Vestibule Rectum Right ureter Uterus Peritoneum Urinary bladder Pubic symphysis Internal urethral sphincter Urethra External urethral sphincter (in urogenital diaphragm) Vagina Peritoneum Ductus deferens Seminal gland Posterior surface of prostate gland Prostatic urethra Trigone Center of trigone Neck of urinary bladder Prostate gland Prostatic urethra Membranous urethra External urethral sphincter (in urogenital diaphragm) Rugae
  • 20. Aging and the Urinary System A decline in the number of functional nephrons  A reduction in glomerular filtration  Reduced sensitivity to ADH  Problems with the micturition reflex related to the following factors:  Loss of tone in sphincter muscles leading to incontinence  Strokes, Alzheimer’s disease, or other CNS problems impair ability to control micturition  Urinary retention may develop in men whose prostrate glands are enlarged © 2012 Pearson Education, Inc.