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URINARY SYSTEM
ANATOMY
By: Zekarias B. (MSc. Clinical Anatomy
An Introduction to the Urinary System
8/3/2022
2
INTRODUCTION
 The urinary system consists of two kidneys, two
ureters, one urinary bladder, and one urethra.
 After the kidneys filter blood plasma, they return
most of the water and solutes to the bloodstream.
 The remaining water and solutes constitute urine,
which passes through the ureters and is stored in
the urinary bladder until it is excreted from the
body through the urethra.
 Nephrology is the scientific study of the anatomy,
physiology, and disorders of the kidneys
8/3/2022
3
Functions of the Urinary System
1.The kidneys
 Regulate blood volume and composition
 Help regulate blood pressure(by secreting the
enzyme renin, which activates the renin
angiotensin aldosterone pathway)
 Regulate blood PH
 produce two hormones(Calcitriol & erythropoietin),
and
 excrete wastes.
8/3/2022
4
Functions of the Urinary System
2. The ureters transport urine from the kidneys
to the urinary bladder.
3. The urinary bladder stores urine and expels it
into the urethra.
4. The urethra discharges urine from the body
8/3/2022
5
The Kidneys
 Are located either
side of vertebral
column:
 Right kidney
positioned slightly
lower than the left
kidney. Why?
 superior surface capped
by adrenal gland
 Position is
maintained by:
 supporting 8/3/2022
6
 Kidneys are
supported by 3
layers:
1.renal capsule
 An inner layer of
collagen fibers
 Covers outer surface
of entire organ
2.adipose capsule
 A thick middle layer
of adipose tissue
 Surrounds renal
capsule
3. renal fascia
_ A dense, fibrous outer
layer
_ Anchors kidney to 8/3/2022
7
The Kidneys
 each is:
-10cm long,
-5cm wide,
-2.5cm thick and
weighs about 150 g
Hilum
 Point of entry for
renal artery and
renal nerves
 Point of exit for renal
vein and ureter 8/3/2022
8
 Internal cavity within kidney
 Surrounds the renal pelvis
Renal Sinus
8/3/2022
9
Renal Cortex
 Outer portion of kidney deep to renal
capsule
 Contains most of nephrons
8/3/2022
10
Renal Medulla
 Inner layer with 6 to 18 distinct conical
structures called Renal Pyramids
 Contains most of collecting tubules
 tip of each pyramid (renal papilla) projects into
minor calyx in the renal sinus
8/3/2022
11
8/3/2022
12
8/3/2022
13
 Minor Calyx: Small cup
shaped drains of renal
papilla
Major Calyx
 Formed by union of 2 to
3 minor calyces
Renal Pelvis
 Large, funnel-shaped
chamber that fills most
of renal sinus
 Formed by 2 to 3 major
calyces
 Connected to ureter
8/3/2022
14
Blood Supply to the Kidneys
 Kidneys receive 2025% of total cardiac
output
 1200 ml of blood /minute flows through
kidneys
 Kidney receives blood through renal
artery
8/3/2022
15
Blood Supply to the Kidneys
8/3/2022
16
Anatomy of Nephron & Collecting
System
Nephron
 The functional unit of the kidney
 Each nephron is composed of a renal corpuscle
(glomerulus within Bowman's capsule), a proximal
tubule (convoluted and straight components), an
intermediate tubule (loop of Henle), a distal
convoluted tubule, a connecting tubule, and cortical,
outer medullary, and inner medullary collecting ducts.
 Microscopic, tubular structures in cortex of each renal
lobe
 Where urine production begins
 Consists of renal tubule and renal corpuscle
8/3/2022
17
Anatomy of Nephron & Collecting
System
8/3/2022
18
Nephron
Renal Tubule
 Long tubular
passageway
 Begins at renal
corpuscle
 Renal Corpuscle
 Spherical structure
consisting of:
 Bowmans capsule
 cup-shaped chamber
 Glomerulus
 Tuft of capillary 8/3/2022
19
Parts of Renal Tubule
 Located in cortex:
 proximal convoluted
tubule (PCT)
 distal convoluted
tubule (DCT)
 Separated by loop of
Henle:
 U-shaped tube
 extends partially into
medulla
8/3/2022
20
Glomerulus
 Consists of about 50
intertwining
capillaries
 Blood delivered via
afferent arteriole
 Blood leaves in
efferent arteriole
8/3/2022
21
Collecting Ducts
 Receive fluid from
many nephrons
 Each collecting duct:
 begins in cortex
 descends into
medulla
 carries fluid to
papillary duct that
drains into a minor
calyx
8/3/2022
22
The Bowmans Capsule(Glomerular
Capsule)
 Is connected to proximal (initial) segment of
renal tubule
 Forms outer wall of renal corpuscle
 Encapsulates glomerular capillaries
8/3/2022
23
The Renal Corpuscle
 Each renal corpuscle:
 is 150250 袖m in diameter
 includes Bowmans capsule and glomerulus
8/3/2022
24
Urine Formation
 The nephrons form urine through three
interrelated processes: filtration, reabsorption,
and secretion.
1. Filtration is the process by which water and
some dissolved solutes in the blood plasma
passively move out of the glomerulus into the
capsular space of the renal corpuscle.
 This water and its dissolved solutes are called
filtrate
8/3/2022
25
2. Tubular reabsorption occurs when substances in
the filtrate move by diffusion or active transport
across the wall of the convoluted tubules and the
nephron loop to return to the blood.
 Once filtrate begins to be modified, it is called
tubular fluid .
 As reabsorption occurs, some excess solutes, water,
and waste products remain within the tubular fluid.
3. Tubular secretion is the active transport of solutes
out of the blood into the tubular fluid.
8/3/2022
26
Filtration
 Occurs in renal
corpuscle
 Blood pressure:
 forces water and
dissolved solutes
out of glomerular
capillaries into
capsular space
 produces protein-
free solution (filtrate)
similar to blood
plasma
8/3/2022
27
Functions of Renal Tubule
1. Reabsorb useful organic nutrients that enter
filtrate
2. Reabsorb more than 90% of water in filtrate
3. Secrete waste products that failed to enter
renal corpuscle through filtration at
glomerulus
8/3/2022
28
Organs for the Conduction and Storage of
Urine
8/3/2022
29
The Ureters
 Are a pair of muscular tubes
 Extend from kidneys to urinary bladder
 Begin at renal pelvis
 attached to posterior abdominal wall
 Penetrate posterior wall of the urinary bladder
 Pass through bladder wall at oblique angle
 Ureteral openings are slit like rather than
rounded
 Shape of its opening in bladder helps prevent
backflow of urine when urinary bladder contracts
8/3/2022
30
Layers of the Ureter Wall
Inner mucosa:
 transitional epithelium and lamina propria
 Middle muscular layer:
 longitudinal and circular bands of smooth muscle
 Outer connective-tissue layer (serosa):
 continuous with fibrous renal capsule and
peritoneum
8/3/2022
31
Peristaltic Contractions to send
urine towards bladder
 Begin at renal pelvis
 Sweep along ureter
 Force urine toward urinary bladder
 Every 30 seconds
8/3/2022
32
The Urinary Bladder
 Is a hollow, muscular organ
 Functions as temporary reservoir urine storage
 Full bladder can contain about 1.5 liter of urine
8/3/2022
33
The Mucosa
 Lining the urinary bladder has folds
(rugae):
 that disappear as bladder fills
 Is a triangular area bounded by:
 openings of ureters
 entrance to urethra
 Acts as a funnel:
 channels urine from bladder into urethra
8/3/2022
34
Parts of bladder
 has the form of pyramid
 externally has an apex,
body, fundus, and neck
1. Apex
 anterior end
 points toward superior
edge of the pubic
symphysis
2. Fundus
 Posterior wall
 In females, the fundus
is closely related to the
anterior wall of the
vagina; in males, it is
related to the rectum
8/3/2022
35
 Body
 part between apex and fundus
 Neck
 inferior end
8/3/2022
36
The Neck of the Urinary
Bladder
 Is the region
surrounding
urethral opening
 Contains a
muscular internal
urethral sphincter
which is smooth
muscle fibers of
sphincter provide
involuntary control
of urine discharge)
8/3/2022
37
Wall of the Urinary Bladder
 Contains mucosa, submucosa, muscularis, and
serosa layers:
 form powerful detrusor muscle of urinary bladder
 contraction compresses urinary bladder and expels
urine
The Urethra
 Extends from neck of urinary bladder
 To the exterior of the body
The Male Urethra
 Extends from neck of urinary bladder
 To tip of penis (1820 cm)
8/3/2022
38
Parts of the Male Urethra
1. Prostatic urethra:
 passes through center of prostate gland
2. Membranous urethra:
 short segment that penetrates the
urogenital diaphragm
3. Spongy urethra (penile urethra):
 extends from urogenital diaphragm
 to external urethral orifice
8/3/2022
39
8/3/2022
40
The Female Urethra
 Is very short (35 cm)
 Extends from bladder to vestibule
 External urethral orifice is near anterior
wall of vagina
8/3/2022
41
The External Urethral Sphincter
 In both sexes:
is a circular band of skeletal muscle
where urethra passes through urogenital
diaphragm
 Acts as a valve
 Is under voluntary control:
 Voluntarily relaxation permits
micturition
8/3/2022
42
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Urinary System Anatomy for Med Lab.pptx

  • 1. URINARY SYSTEM ANATOMY By: Zekarias B. (MSc. Clinical Anatomy
  • 2. An Introduction to the Urinary System 8/3/2022 2
  • 3. INTRODUCTION The urinary system consists of two kidneys, two ureters, one urinary bladder, and one urethra. After the kidneys filter blood plasma, they return most of the water and solutes to the bloodstream. The remaining water and solutes constitute urine, which passes through the ureters and is stored in the urinary bladder until it is excreted from the body through the urethra. Nephrology is the scientific study of the anatomy, physiology, and disorders of the kidneys 8/3/2022 3
  • 4. Functions of the Urinary System 1.The kidneys Regulate blood volume and composition Help regulate blood pressure(by secreting the enzyme renin, which activates the renin angiotensin aldosterone pathway) Regulate blood PH produce two hormones(Calcitriol & erythropoietin), and excrete wastes. 8/3/2022 4
  • 5. Functions of the Urinary System 2. The ureters transport urine from the kidneys to the urinary bladder. 3. The urinary bladder stores urine and expels it into the urethra. 4. The urethra discharges urine from the body 8/3/2022 5
  • 6. The Kidneys Are located either side of vertebral column: Right kidney positioned slightly lower than the left kidney. Why? superior surface capped by adrenal gland Position is maintained by: supporting 8/3/2022 6
  • 7. Kidneys are supported by 3 layers: 1.renal capsule An inner layer of collagen fibers Covers outer surface of entire organ 2.adipose capsule A thick middle layer of adipose tissue Surrounds renal capsule 3. renal fascia _ A dense, fibrous outer layer _ Anchors kidney to 8/3/2022 7
  • 8. The Kidneys each is: -10cm long, -5cm wide, -2.5cm thick and weighs about 150 g Hilum Point of entry for renal artery and renal nerves Point of exit for renal vein and ureter 8/3/2022 8
  • 9. Internal cavity within kidney Surrounds the renal pelvis Renal Sinus 8/3/2022 9
  • 10. Renal Cortex Outer portion of kidney deep to renal capsule Contains most of nephrons 8/3/2022 10
  • 11. Renal Medulla Inner layer with 6 to 18 distinct conical structures called Renal Pyramids Contains most of collecting tubules tip of each pyramid (renal papilla) projects into minor calyx in the renal sinus 8/3/2022 11
  • 14. Minor Calyx: Small cup shaped drains of renal papilla Major Calyx Formed by union of 2 to 3 minor calyces Renal Pelvis Large, funnel-shaped chamber that fills most of renal sinus Formed by 2 to 3 major calyces Connected to ureter 8/3/2022 14
  • 15. Blood Supply to the Kidneys Kidneys receive 2025% of total cardiac output 1200 ml of blood /minute flows through kidneys Kidney receives blood through renal artery 8/3/2022 15
  • 16. Blood Supply to the Kidneys 8/3/2022 16
  • 17. Anatomy of Nephron & Collecting System Nephron The functional unit of the kidney Each nephron is composed of a renal corpuscle (glomerulus within Bowman's capsule), a proximal tubule (convoluted and straight components), an intermediate tubule (loop of Henle), a distal convoluted tubule, a connecting tubule, and cortical, outer medullary, and inner medullary collecting ducts. Microscopic, tubular structures in cortex of each renal lobe Where urine production begins Consists of renal tubule and renal corpuscle 8/3/2022 17
  • 18. Anatomy of Nephron & Collecting System 8/3/2022 18
  • 19. Nephron Renal Tubule Long tubular passageway Begins at renal corpuscle Renal Corpuscle Spherical structure consisting of: Bowmans capsule cup-shaped chamber Glomerulus Tuft of capillary 8/3/2022 19
  • 20. Parts of Renal Tubule Located in cortex: proximal convoluted tubule (PCT) distal convoluted tubule (DCT) Separated by loop of Henle: U-shaped tube extends partially into medulla 8/3/2022 20
  • 21. Glomerulus Consists of about 50 intertwining capillaries Blood delivered via afferent arteriole Blood leaves in efferent arteriole 8/3/2022 21
  • 22. Collecting Ducts Receive fluid from many nephrons Each collecting duct: begins in cortex descends into medulla carries fluid to papillary duct that drains into a minor calyx 8/3/2022 22
  • 23. The Bowmans Capsule(Glomerular Capsule) Is connected to proximal (initial) segment of renal tubule Forms outer wall of renal corpuscle Encapsulates glomerular capillaries 8/3/2022 23
  • 24. The Renal Corpuscle Each renal corpuscle: is 150250 袖m in diameter includes Bowmans capsule and glomerulus 8/3/2022 24
  • 25. Urine Formation The nephrons form urine through three interrelated processes: filtration, reabsorption, and secretion. 1. Filtration is the process by which water and some dissolved solutes in the blood plasma passively move out of the glomerulus into the capsular space of the renal corpuscle. This water and its dissolved solutes are called filtrate 8/3/2022 25
  • 26. 2. Tubular reabsorption occurs when substances in the filtrate move by diffusion or active transport across the wall of the convoluted tubules and the nephron loop to return to the blood. Once filtrate begins to be modified, it is called tubular fluid . As reabsorption occurs, some excess solutes, water, and waste products remain within the tubular fluid. 3. Tubular secretion is the active transport of solutes out of the blood into the tubular fluid. 8/3/2022 26
  • 27. Filtration Occurs in renal corpuscle Blood pressure: forces water and dissolved solutes out of glomerular capillaries into capsular space produces protein- free solution (filtrate) similar to blood plasma 8/3/2022 27
  • 28. Functions of Renal Tubule 1. Reabsorb useful organic nutrients that enter filtrate 2. Reabsorb more than 90% of water in filtrate 3. Secrete waste products that failed to enter renal corpuscle through filtration at glomerulus 8/3/2022 28
  • 29. Organs for the Conduction and Storage of Urine 8/3/2022 29
  • 30. The Ureters Are a pair of muscular tubes Extend from kidneys to urinary bladder Begin at renal pelvis attached to posterior abdominal wall Penetrate posterior wall of the urinary bladder Pass through bladder wall at oblique angle Ureteral openings are slit like rather than rounded Shape of its opening in bladder helps prevent backflow of urine when urinary bladder contracts 8/3/2022 30
  • 31. Layers of the Ureter Wall Inner mucosa: transitional epithelium and lamina propria Middle muscular layer: longitudinal and circular bands of smooth muscle Outer connective-tissue layer (serosa): continuous with fibrous renal capsule and peritoneum 8/3/2022 31
  • 32. Peristaltic Contractions to send urine towards bladder Begin at renal pelvis Sweep along ureter Force urine toward urinary bladder Every 30 seconds 8/3/2022 32
  • 33. The Urinary Bladder Is a hollow, muscular organ Functions as temporary reservoir urine storage Full bladder can contain about 1.5 liter of urine 8/3/2022 33
  • 34. The Mucosa Lining the urinary bladder has folds (rugae): that disappear as bladder fills Is a triangular area bounded by: openings of ureters entrance to urethra Acts as a funnel: channels urine from bladder into urethra 8/3/2022 34
  • 35. Parts of bladder has the form of pyramid externally has an apex, body, fundus, and neck 1. Apex anterior end points toward superior edge of the pubic symphysis 2. Fundus Posterior wall In females, the fundus is closely related to the anterior wall of the vagina; in males, it is related to the rectum 8/3/2022 35
  • 36. Body part between apex and fundus Neck inferior end 8/3/2022 36
  • 37. The Neck of the Urinary Bladder Is the region surrounding urethral opening Contains a muscular internal urethral sphincter which is smooth muscle fibers of sphincter provide involuntary control of urine discharge) 8/3/2022 37
  • 38. Wall of the Urinary Bladder Contains mucosa, submucosa, muscularis, and serosa layers: form powerful detrusor muscle of urinary bladder contraction compresses urinary bladder and expels urine The Urethra Extends from neck of urinary bladder To the exterior of the body The Male Urethra Extends from neck of urinary bladder To tip of penis (1820 cm) 8/3/2022 38
  • 39. Parts of the Male Urethra 1. Prostatic urethra: passes through center of prostate gland 2. Membranous urethra: short segment that penetrates the urogenital diaphragm 3. Spongy urethra (penile urethra): extends from urogenital diaphragm to external urethral orifice 8/3/2022 39
  • 41. The Female Urethra Is very short (35 cm) Extends from bladder to vestibule External urethral orifice is near anterior wall of vagina 8/3/2022 41
  • 42. The External Urethral Sphincter In both sexes: is a circular band of skeletal muscle where urethra passes through urogenital diaphragm Acts as a valve Is under voluntary control: Voluntarily relaxation permits micturition 8/3/2022 42