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ANATOMY
• EMBRYOLOGY
• DEVELOPMENT OF THE URINARY
SYSTEM
• Dr. Chongo Shapi (BSc. HB, MBChB)
• Medical Doctor
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 1
DEVELOPMENT OF KIDNEYS AND THE DUCT SYSTEM
• Develop from the
intermediate mesoderm
• Other organs that
develop from
intermediate mesoderm
are the gonads and part
of adrenal glands
• Development starts
during the 4th week
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 2
DEVELOPMENT OF THE KIDNEYS
• Three overlapping
systems develop
1. Pronephros
2. Mesonephros
3. Metanephros
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 3
THE PRONEPHROS
• The IM in the cervical
region on either side
develop segmented
thickenings called
nephrotomes-beginning of
4th week.
• The nephrotomes become
tubular (nephric tubules)
and grow laterally
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 4
THE PRONEPHROS
• They join laterally and
curve caudally to form a
duct.
• Medially, they invaginate to
accommodate a branch
from the dorsal aorta
• Disappear at the end of
week 4
• Hence non-functional
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 5
THE MESONEPHROS
• As the pronephros
regresses, a 2nd system
called mesonephros starts
developing in the thoracic
to the sacral region
• Its tubules rapidly enlongate
meeting laterally and
forming the mesonephric
duct
• Medially, they form
Bowman’s capsule housing
the glomerulus
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 6
THE MESONEPHROS
• The mesonephros is one ovoid
non segmented organ related
to the genital ridge medially.
• Development and regression
of tubules and their glomeruli
is from cranial to caudal
• By the end of 2nd month,
majority of the tubules and
their glomeruli would have
disappeared
• Mesonephros briefly functions
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 7
MESONEPHROS AND GENITAL
REGION
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 8
THE METANEPHROS
• As the mesonephros is
regressing, a permanent
kidney (metanephros)
starts developing in the
sacral region in the 5th
week.
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 9
THE METANEPHROS
• It develops from 2
sources:
1. Excretory tubules (from
renal corpuscles to the
DCT) develop from the
metanephric tissue
2. The collecting duct
system and ureter
develops from
mesonephric duct
(ureteric bud)
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 10
CONT’
• As the branch of the
mesonephric duct (ureteric
bud) grows from near the
cloaca, it penetrates the
metanephric bud
(metanephric blastema).
• Inside the metanephric bud, it
divides to form renal pelvis,
major and minor calices and
collecting tubules.
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 11
CONT’
• Then the metanephric
tissue surrounding each
collecting tubule
differentiates to form
vesicle which lengthens to
form excretory tubule.
• The excretory tubule
forms the renal corpuscle,
PCT, LH & DCT. It joins the
collecting tubule
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 12
DEVELOPMENT OF THE URINARY BLADDER AND URETHRA
• During the 4th and 7th
weeks, the urorectal
septum divides the cloaca
into the anorectal canal
posteriorly and the
primitive urogenital sinus
anteriorly.
• The upper and largest
part of the primitive
urogenital sinus forms the
urinary bladder
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 13
DEVELOPMENT OF THE URINARY BLADDER AND URETHRA
• The allantois is obliterated and becomes
fibrous cord called the urachus that forms part
of the median umbilical cord ligament
• In males, the pelvic part of the urogenital
sinus forms the prostatic and membranous
parts of the urethra.
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 14
ASCENT OF KIDNEYS
• In the 6th week the
kidneys begin to ascend
from the sacral region
to their position in the
upper abdomen.
• The branches of
mesonephric ducts
elongate and become
the ureters.
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 15
ASCENT OF KIDNEYS CONT’
• As the kidney ascends it receives new segmental
arteries from the aorta and loses those vessels
below.
• Thus sometimes there is more than one renal
artery.
• Sometimes one kidney fails to ascend hence
pelvic kidney
• Sometimes the left and right kidneys become
attached in the pelvis and the horseshoe kidney
formed can’t ascend above the inferior
mesenteric artery
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 16
Congenital Malformations
• Congenital polycystic kidney
• Renal agenesis
• Pelvic kidney
• Horseshoe kidney
• Read about others
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 17
Reference
• Langman’s Medical Embryology by Sadler T. W.
• Larson “Human Embryology”
• Carlson “Embryology and developmental
biology”
• McLachlan “Medical Embryology”
• Internet sources.
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 18
THANK YOU
11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 19

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Development Urinary system by Shapi. MD.pdf

  • 1. ANATOMY • EMBRYOLOGY • DEVELOPMENT OF THE URINARY SYSTEM • Dr. Chongo Shapi (BSc. HB, MBChB) • Medical Doctor 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 1
  • 2. DEVELOPMENT OF KIDNEYS AND THE DUCT SYSTEM • Develop from the intermediate mesoderm • Other organs that develop from intermediate mesoderm are the gonads and part of adrenal glands • Development starts during the 4th week 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 2
  • 3. DEVELOPMENT OF THE KIDNEYS • Three overlapping systems develop 1. Pronephros 2. Mesonephros 3. Metanephros 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 3
  • 4. THE PRONEPHROS • The IM in the cervical region on either side develop segmented thickenings called nephrotomes-beginning of 4th week. • The nephrotomes become tubular (nephric tubules) and grow laterally 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 4
  • 5. THE PRONEPHROS • They join laterally and curve caudally to form a duct. • Medially, they invaginate to accommodate a branch from the dorsal aorta • Disappear at the end of week 4 • Hence non-functional 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 5
  • 6. THE MESONEPHROS • As the pronephros regresses, a 2nd system called mesonephros starts developing in the thoracic to the sacral region • Its tubules rapidly enlongate meeting laterally and forming the mesonephric duct • Medially, they form Bowman’s capsule housing the glomerulus 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 6
  • 7. THE MESONEPHROS • The mesonephros is one ovoid non segmented organ related to the genital ridge medially. • Development and regression of tubules and their glomeruli is from cranial to caudal • By the end of 2nd month, majority of the tubules and their glomeruli would have disappeared • Mesonephros briefly functions 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 7
  • 8. MESONEPHROS AND GENITAL REGION 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 8
  • 9. THE METANEPHROS • As the mesonephros is regressing, a permanent kidney (metanephros) starts developing in the sacral region in the 5th week. 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 9
  • 10. THE METANEPHROS • It develops from 2 sources: 1. Excretory tubules (from renal corpuscles to the DCT) develop from the metanephric tissue 2. The collecting duct system and ureter develops from mesonephric duct (ureteric bud) 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 10
  • 11. CONT’ • As the branch of the mesonephric duct (ureteric bud) grows from near the cloaca, it penetrates the metanephric bud (metanephric blastema). • Inside the metanephric bud, it divides to form renal pelvis, major and minor calices and collecting tubules. 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 11
  • 12. CONT’ • Then the metanephric tissue surrounding each collecting tubule differentiates to form vesicle which lengthens to form excretory tubule. • The excretory tubule forms the renal corpuscle, PCT, LH & DCT. It joins the collecting tubule 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 12
  • 13. DEVELOPMENT OF THE URINARY BLADDER AND URETHRA • During the 4th and 7th weeks, the urorectal septum divides the cloaca into the anorectal canal posteriorly and the primitive urogenital sinus anteriorly. • The upper and largest part of the primitive urogenital sinus forms the urinary bladder 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 13
  • 14. DEVELOPMENT OF THE URINARY BLADDER AND URETHRA • The allantois is obliterated and becomes fibrous cord called the urachus that forms part of the median umbilical cord ligament • In males, the pelvic part of the urogenital sinus forms the prostatic and membranous parts of the urethra. 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 14
  • 15. ASCENT OF KIDNEYS • In the 6th week the kidneys begin to ascend from the sacral region to their position in the upper abdomen. • The branches of mesonephric ducts elongate and become the ureters. 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 15
  • 16. ASCENT OF KIDNEYS CONT’ • As the kidney ascends it receives new segmental arteries from the aorta and loses those vessels below. • Thus sometimes there is more than one renal artery. • Sometimes one kidney fails to ascend hence pelvic kidney • Sometimes the left and right kidneys become attached in the pelvis and the horseshoe kidney formed can’t ascend above the inferior mesenteric artery 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 16
  • 17. Congenital Malformations • Congenital polycystic kidney • Renal agenesis • Pelvic kidney • Horseshoe kidney • Read about others 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 17
  • 18. Reference • Langman’s Medical Embryology by Sadler T. W. • Larson “Human Embryology” • Carlson “Embryology and developmental biology” • McLachlan “Medical Embryology” • Internet sources. 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 18
  • 19. THANK YOU 11/27/2022 Dr. Chongo Shapi (BSc. HB, MBChB) 19