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URINARYSYSTEM
HumanAnatomyUnit3
InAnatomyToday
Components
• Kidneys• Ureters• Urinarybladder• Urethra
Functions
• Storageofurine– Bladderstoresupto1Lofurine
• Excretionofurine– Transportofurineoutofbody
• Regulation:– PlasmapH– Bloodvolume/pressure– Plasmaionconcentrations(Ca2+,Na+,K+,CL-)– Assistliverindetoxification,aminoacidmetabolism
KidneyGrossAnatomy• Retroperitoneal
– Anteriorsurfacecoveredwithperitoneum
– Posteriorsurfacedirectlyagainstposteriorabdominalwall
• SuperiorsurfaceataboutT12
• InferiorsurfaceataboutL3• Ureters enterurinary
bladderposteriorly• Leftkidney2cmsuperiorto
right– Sizeofliver
StructureoftheKidney
• Hilum=thedepressionalongthemedialborderthroughwhichseveralstructurespass– renalartery– renalvein– ureter– renalnerves
SurroundingTissue• Fibrouscapsule
– InnermostlayerofdenseirregularCT
– Maintainsshape,protection• Adiposecapsule
– Adiposectofvaryingthickness– Cushioningandinsulation
• Renalfascia– DenseirregularCT– Anchorskidneytoperitoneum
&abdominalwall• Paranephric fat
– Outermost,adiposeCTbetweenrenalfasciaandperitoneum
FrontalSectionoftheKidney• Cortex
– Layerofrenaltissueincontactwithcapsule
– Renalcolumns– partsofcortexthatextendintothemedullabetweenpyramids
• Medulla– Stripedduetorenal
tubules• Renalpyramids
– 8-15presentinmedullaofadult
– Conicalshape– Widebaseat
corticomedullary junction
FlowofFiltrate/Urine• Collectingducts
– Collectfrommultiplenephrons• Minorcalyx
– Collectfromeachpyramid• Majorcalyx
– Collectfromminorcalyx• Renalpelvis
– Collectsfromcalyces,passesonto
• Ureter– Collectsfrompelvis
• UrinaryBladder– Collectsfromureters
Histology
RenalCortex RenalMedulla
RenalTubules
• Nephron– functionalunitofthekidney.
• Eachkidneycontainsapproximately1millionnephrons
• Formurinebyfilteringandadjustingcompositionofbloodcarriedbyrenalvasculature
RenalPortalSystem
RenalPortalSystem
HistologicalStructureofaNephron• Renalcorpuscle
– Glomerulus– Bowman’scapsule
• Renaltubules– Proximalconvolutedtubule– DescendinglimbofLOH– LoopofHenle– AscendinglimbofLOH– Distalconvolutedtubule– Collectingduct
• Associatedbloodvessels- Peritubularcapillaries- Vasarecta
TypesofNephrons
TheGlomerulus
• Bowman’scapsule– Linedwithpodocytes
• Glomerulus– Capillarybed– Bulkflow
• Afferentarteriole• Efferentarteriole
TheCollectingSystem• Collectingductsreceive
filtratefromDCTofnephrons
• Collectingductsemptyintominorcalyces
• Minorcalycesemptyintomajorcalyces
• Majorcalycesdrainintorenalpelvis
• Renalpelvisdrainsintoureter– Nowurine
TheUreters• Expandabletubesthatexittherenalpelvis
• 3walls– Mucosa
• Transitionalepithelium– Muscularis
• smoothmusclelayer– Adventitia
• protectivefibrousCT– Uretersdrainintotheposteriorportionoftheurinarybladder
TheUrinaryBladder
• Functionstostoreurine• Structure– Rugae
• macroscopicfoldsasinthestomach
• flattenwhentheurinarybladderisdistended
– Trigone• triangularregionofthebladder
• norugae• locationofopeningstotheuretersandurethra
HistologyoftheUrinaryBladder
• Mucosallining– transitionalepithelium
• Submucosa– fibrousCT
• Muscularis– detrusor muscle
• 3layersofsmoothmuscle
• Adventitia– looseCT– visceralperitoneum
TheFemaleUrethra
• Drainsurinefromurinarybladdertoexterior
• 1-2inches• higherriskforbladderinfections
TheMaleUrethra
• 3regions:– prostatic– membranous– penile
HistologyoftheUrethra
• Mucosa– variesfrombladdertoexteriorespeciallyinmales
• Muscularis layer• Adventitia• Sphincters– internal=smoothmuscle(involuntary)
– external=skeletalmuscle(voluntary)