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Urinary system
Dr. mohamed saki
Urinary system:
physiology
• The major work of the urinary system is
done by the nephrons.
• The other parts are primarily passageways
and storage areas.
• The eliminated materials are collectively
collected urine.
Functions of the urinary system
The primary function of the kidneys is to
maintain a stable internal environment
(homeostasis) for optimal cell and tissue
metabolism.
Functions of the urinary system
six important roles of the kidneys are
1. Regulation of plasma osmolarity.
2. Regulation of plasma volume
3. Regulation of plasma hydrogen ion
concentration (pH).
4. Removal of metabolic waste products and
foreign substances from the plasma
5. Secretion of Hormones
6. Regulation of plasma ionic composition
Formation of Urine
• Urine is formed in three steps:
– Filtration
– Reabsorption, and
– Secretion.
Urine formation
Glomerular Filtration
• Blood enters the afferent arteriole and
flows into the glomerulus.
• Blood in the glomerulus has both:
– Filterable
– Non-filterable
blood components
Filterable blood components move toward the
inside of the glomerulus while non-filterable blood
components bypass the filtration process by exiting
through the efferent arteriole.
Filtration cont….
filterable blood
components are
•water
• nitrogenous waste
•nutrients and
•salts (ions)
Nonfilterable blood
components include formed
elements such as
•blood cells and platelets
along with plasma
proteins.
Volume of blood filtered
• Kidneys are 1% of body weight and use
20-25% of the oxygen.
• ¼ of the cardiac output is delivered to the
kidneys each minute
• 1000 to 1200ml of blood go through each
glumeruli of each nephron every minute.
– Equals 650 ml of plasma (blood cells cannot
be filtered)
Volume of blood filtered cont…
• 1/5 of this goes through the renal tubules.
• The entire plasma volume is filtered 60X a
day or 180 liters of water per day.
– Normal urine output = 0.5ml/kg body weight/hr
– 30 to 40 ml per hour for an adult
Not all of the filtered material is excreted
• The volume and concentration of urine is
controlled by:
– Antidiuretic hormone
– Aldestrone
– The Renin – angiotensin mechanism
Urine formation:
Tubular Reabsorption
• Glomerular filtrate  proximal convoluted
tubule
• Molecules and ions are reabsorbed back
into the blood.
– Peritubular capillary network
– This reabsorption process allows water (H2O)
to pass from the glomerular filtrate back into
the circulatory system
Urine formation:
Reabsorption
• Glucose and various amino acids also are
reabsorbed into the circulatory system.
• Carrier molecules
Urine formation:
Tubular Secretion
• Some substances are removed from blood
through the peritubular capillary network
into the distal convoluted tubule or
collecting duct.
• These substances are
– Hydrogen ions
– creatinine and
– drugs
Tubular Secretion cont…
• Urine is a collection of substances that
have not been re-absorbed during
glomerular filtration or tubular re-
absorbtion.
• Urine flows into the ureter, that connects
each kidney to the bladder.
– Is facilitated by peristaltic waves from
contraction of the smooth muscle in the ureter
wall.
Bladder:
– Adult bladder capacity is about 300 to 600 ml
– Functions as a muscular sac that allow storage
of urine until voiding is convenient.
Urethra
• The urethra is a muscular tube that drains
urine from the body.
• Female
– 3-4 cm long
• Male
– 20 cm long
Micturition
• Micturition:
– Is the process by which the urinary bladder
empties when it becomes filled.
• This involves two main steps:
1. The bladder fills progressively until the
tension in its walls rises above a threshold
level.
2. a nervous reflex called the micturition reflex
that empties the bladder.
Facilitation or Inhibition of
Micturition by the Brain
• The micturition reflex is a completely
autonomic spinal cord reflex, but it can be
inhibited or facilitated by centers in the brain.
– strong facilitative and inhibitory centers in the
brain stem, located mainly in the pons,
and
– Several centers located in the cerebral cortex that
are mainly inhibitory but can become excitatory

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Urinary system

  • 2. Urinary system: physiology • The major work of the urinary system is done by the nephrons. • The other parts are primarily passageways and storage areas. • The eliminated materials are collectively collected urine.
  • 3. Functions of the urinary system The primary function of the kidneys is to maintain a stable internal environment (homeostasis) for optimal cell and tissue metabolism.
  • 4. Functions of the urinary system six important roles of the kidneys are 1. Regulation of plasma osmolarity. 2. Regulation of plasma volume 3. Regulation of plasma hydrogen ion concentration (pH). 4. Removal of metabolic waste products and foreign substances from the plasma 5. Secretion of Hormones 6. Regulation of plasma ionic composition
  • 5. Formation of Urine • Urine is formed in three steps: – Filtration – Reabsorption, and – Secretion.
  • 6. Urine formation Glomerular Filtration • Blood enters the afferent arteriole and flows into the glomerulus. • Blood in the glomerulus has both: – Filterable – Non-filterable blood components Filterable blood components move toward the inside of the glomerulus while non-filterable blood components bypass the filtration process by exiting through the efferent arteriole.
  • 7. Filtration cont…. filterable blood components are •water • nitrogenous waste •nutrients and •salts (ions) Nonfilterable blood components include formed elements such as •blood cells and platelets along with plasma proteins.
  • 8. Volume of blood filtered • Kidneys are 1% of body weight and use 20-25% of the oxygen. • ¼ of the cardiac output is delivered to the kidneys each minute • 1000 to 1200ml of blood go through each glumeruli of each nephron every minute. – Equals 650 ml of plasma (blood cells cannot be filtered)
  • 9. Volume of blood filtered cont… • 1/5 of this goes through the renal tubules. • The entire plasma volume is filtered 60X a day or 180 liters of water per day. – Normal urine output = 0.5ml/kg body weight/hr – 30 to 40 ml per hour for an adult Not all of the filtered material is excreted
  • 10. • The volume and concentration of urine is controlled by: – Antidiuretic hormone – Aldestrone – The Renin – angiotensin mechanism
  • 11. Urine formation: Tubular Reabsorption • Glomerular filtrate  proximal convoluted tubule • Molecules and ions are reabsorbed back into the blood. – Peritubular capillary network – This reabsorption process allows water (H2O) to pass from the glomerular filtrate back into the circulatory system
  • 12. Urine formation: Reabsorption • Glucose and various amino acids also are reabsorbed into the circulatory system. • Carrier molecules
  • 13. Urine formation: Tubular Secretion • Some substances are removed from blood through the peritubular capillary network into the distal convoluted tubule or collecting duct. • These substances are – Hydrogen ions – creatinine and – drugs
  • 14. Tubular Secretion cont… • Urine is a collection of substances that have not been re-absorbed during glomerular filtration or tubular re- absorbtion.
  • 15. • Urine flows into the ureter, that connects each kidney to the bladder. – Is facilitated by peristaltic waves from contraction of the smooth muscle in the ureter wall. Bladder: – Adult bladder capacity is about 300 to 600 ml – Functions as a muscular sac that allow storage of urine until voiding is convenient.
  • 16. Urethra • The urethra is a muscular tube that drains urine from the body. • Female – 3-4 cm long • Male – 20 cm long
  • 17. Micturition • Micturition: – Is the process by which the urinary bladder empties when it becomes filled. • This involves two main steps: 1. The bladder fills progressively until the tension in its walls rises above a threshold level. 2. a nervous reflex called the micturition reflex that empties the bladder.
  • 18. Facilitation or Inhibition of Micturition by the Brain • The micturition reflex is a completely autonomic spinal cord reflex, but it can be inhibited or facilitated by centers in the brain. – strong facilitative and inhibitory centers in the brain stem, located mainly in the pons, and – Several centers located in the cerebral cortex that are mainly inhibitory but can become excitatory