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10 Urinary System
10 Urinary System
10 Urinary System
Kidneys
Location and structure
o The kidneys are situated against the dorsal body wall in a
retroperitoneal position (behind the parietal peritoneum)
o The kidneys are situated at the level of the T12 to L3 vertebrae
o The right kidney is slightly lower than the left (because of position of
the liver)
Blood supply
One-quarter of the total blood supply of the body passes through the
kidneys each minute
Renal artery provides each kidney with arterial blood supply
Renal artery divides into segmental arteries → interlobar arteries →
arcuate arteries → cortical radiate arteries
Venous blood flow
Cortical radiate veins → arcuate veins → interlobar veins → renal vein
There are no segmental veins
Renal vein returns blood to the inferior vena cava
Nephrons
Kidney structure Structural and functional units of the kidneys
o An adult kidney is about 12 cm (5 in) long and 6 cm (2.5 in) wide Each kidney contains over a million nephrons
o Renal hilum
Each nephron consists of two main structures
o A medial indentation where several structures enter or exit the
o Renal corpuscle
kidney (ureters, renal blood vessels, and nerves)
o Renal tubule
o An adrenal gland sits atop each kidney
Urine characteristics
Tubular secretion
Reabsorption in reverse
Urinary Bladder
Some materials move from the blood of the peritubular capillaries into the renal
tubules to be eliminated in filtrate Smooth, collapsible, muscular sac situated posterior to the pubic symphysis
o Hydrogen and potassium ions Stores urine temporarily
o Creatinine Trigone—triangular region of the urinary bladder base based on three
Secretion is important for: openings
o Getting rid of substances not already in the filtrate o Two openings from the ureters (ureteral orifices)
o Removing drugs and excess ions o One opening to the urethra (internal urethral orifice)
o Maintaining acid-base balance of blood In males, the prostate surrounds the neck of the urinary bladder
Materials left in the renal tubule move toward the ureter
Nitrogenous wastes
Urge to void is felt
The external sphincter is voluntarily controlled, so micturition can usually
be delayed
The kidneys begin to develop in the first few weeks of embryonic life and
are excreting urine by the third month of fetal life
Common congenital abnormalities include polycystic kidney and
hypospadias
Common urinary system problems in children and young to middle-aged
adults include infections caused by fecal microorganisms, microorganisms
causing sexually transmitted infections, and Streptococcus
Control of the voluntary urethral sphincter does not start until age 18
months
Wall of the urinary bladder Complete nighttime control may not occur until the child is 4 years old
o Three layers of smooth muscle collectively called the detrusor Urinary tract infections (UTIs) are the only common problems before old
muscle age
o Mucosa made of transitional epithelium o escherichia coli (E. coli), a bacterium, accounts for 80 percent of
o Walls are thick and folded in an empty urinary bladder UTIs
o Urinary bladder can expand significantly without increasing Renal failure is an uncommon but serious problem in which the kidneys are
internal pressure unable to concentrate urine, and dialysis must be done to maintain chemical
Capacity of the urinary bladder homeostasis of blood
o A moderately full bladder is about 5 inches long and holds about With age, filtration rate decreases and tubule cells become less efficient at
500 ml of urine concentrating urine, leading to urgency, frequency, and incontinence
o Capable of holding twice that amount of urine In men, urinary retention is another common problem
Problems associated with aging
o Urgency—feeling that it is necessary to void
o Frequency—frequent voiding of small amounts of urine
o Nocturia—need to get up during the night to urinate
o Incontinence—loss of control
o Urinary retention—common in males, often the result of
hypertrophy of the prostate gland
Urethra
Thin-walled tube that carries urine from the urinary bladder to the outside of
the body by peristalsis
Function
o Females—carries only urine
o Males—carries urine and sperm
Release of urine is controlled by two sphincters
1. Internal urethral sphincter - Involuntary and made of smooth muscle
2. External urethral sphincter- Voluntary and made of skeletal muscle
Length
o In females: 3 to 4 cm (1.5 inches long)
o In males: 20 cm (8 inches long)
Location
o Females - anterior to the vaginal opening
o Males - travels through the prostate and penis
Prostatic urethra
Membranous urethra
Spongy urethra
Micturition