The urinary system, also known as the renal system or urinary tract, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressure, control levels of electrolytes and metabolites, and regulate blood pH.
2. IntroductionIntroduction
TheThe urinary systemurinary system, also known as, also known as
thethe renal systemrenal system
The urinary system refers to the structuresThe urinary system refers to the structures
that produce and conductthat produce and conduct urineurine to theto the
point of excretion.point of excretion.
3. URINARY SYSTEM ORGANSURINARY SYSTEM ORGANS
Kidneys (2)Kidneys (2)
Ureters (2)Ureters (2)
Urinary bladderUrinary bladder
UrethraUrethra
4.
5. KidneyKidney
The human body normally has two pairedThe human body normally has two paired
kidneyskidneys, one on the left and one on the, one on the left and one on the
right.right.
The functional unit of the kidney isThe functional unit of the kidney is
nephron.nephron.
Urine is formed byUrine is formed by nephronsnephrons
6. Location and External Anatomy ofLocation and External Anatomy of
KidneysKidneys LocatedLocated
retroperitoneallyretroperitoneally
Lateral to TLateral to T1212–L–L33
vertebraevertebrae
Average kidneyAverage kidney
12 cm tall, 6 cm wide,12 cm tall, 6 cm wide,
3 cm thick3 cm thick
7. Protected by three connective tissueProtected by three connective tissue
layerslayers
Renal fasciaRenal fascia
Attaches to abdominal wallAttaches to abdominal wall
Adipose capsuleAdipose capsule
Fat cushioning kidneyFat cushioning kidney
Renal capsuleRenal capsule
Fibrous sacFibrous sac
Protects from trauma and infectionProtects from trauma and infection
10. KIDNEY ANATOMYKIDNEY ANATOMY
Renal parenchymaRenal parenchyma
Two zonesTwo zones
Outer cortexOuter cortex
Inner medullaInner medulla
11.
12. Anatomy of the kidneysAnatomy of the kidneys
Superficial outer cortex and inner medullaSuperficial outer cortex and inner medulla
The medulla consists of 6-18 renalThe medulla consists of 6-18 renal
pyramidspyramids
The cortex is composed of roughly 1.25The cortex is composed of roughly 1.25
million nephronsmillion nephrons
13. KIDNEY ANATOMYKIDNEY ANATOMY
Renal parenchymaRenal parenchyma
Renal pyramidsRenal pyramids
Extensions of cortex (renal columns)Extensions of cortex (renal columns)
divide medulla into 6 – 10divide medulla into 6 – 10 renalrenal
pyramidspyramids
Pyramid + overlying cortex = LobePyramid + overlying cortex = Lobe
Point of pyramid = PapillaPoint of pyramid = Papilla
Papilla nested in cup (minor calyx)Papilla nested in cup (minor calyx)
2 – 3 minor calices2 – 3 minor calices Major calyxMajor calyx
2 – 3 major calices2 – 3 major calices Renal pelvisRenal pelvis
Renal pelvisRenal pelvis UreterUreter
14. KIDNEY ANATOMYKIDNEY ANATOMY
Renal sinusRenal sinus
Surrounded by renal parenchymaSurrounded by renal parenchyma
Contains blood & lymph vessels, nerves,Contains blood & lymph vessels, nerves,
urine-collecting structuresurine-collecting structures
HilusHilus
On concave surfaceOn concave surface
Vessels and nerves enter and exitVessels and nerves enter and exit
15. Major and minor calyces along with theMajor and minor calyces along with the
pelvis drain urine to the ureterspelvis drain urine to the ureters
18. NEPHRONSNEPHRONS
NephronsNephrons
Functional units of kidneyFunctional units of kidney
~1.2 million per kidney~1.2 million per kidney
Three main partsThree main parts
Blood vesselsBlood vessels
Renal corpuscleRenal corpuscle
Renal tubuleRenal tubule
21. Renal corpuscleRenal corpuscle
Composed of aComposed of a glomerulusglomerulus and theand the
Bowman's capsuleBowman's capsule,,
TheThe renal corpusclerenal corpuscle is the beginning ofis the beginning of
the nephron.the nephron.
It is the nephron's initial filteringIt is the nephron's initial filtering
component.component.
22. GlomerulusGlomerulus
TheThe glomerulusglomerulus is ais a capillarycapillary tuft thattuft that
receives its blood supply from an afferentreceives its blood supply from an afferent
arteriolearteriole of theof the renal circulationrenal circulation..
The glomerular blood pressure providesThe glomerular blood pressure provides
the driving force for water and solutes tothe driving force for water and solutes to
be filtered out of the blood and into thebe filtered out of the blood and into the
space made byspace made byBowman's capsuleBowman's capsule
23. The remainder of the blood passes intoThe remainder of the blood passes into
the efferent arteriole.the efferent arteriole.
The diameter of efferent arterioles isThe diameter of efferent arterioles is
smaller than that of afferent arterioles,smaller than that of afferent arterioles,
increasing the hydrostatic pressure in theincreasing the hydrostatic pressure in the
glomerulus.glomerulus.
24. Bowman's capsuleBowman's capsule
The Bowman's capsule, also called theThe Bowman's capsule, also called the
glomerular capsule.glomerular capsule.
surrounds the glomerulus.surrounds the glomerulus.
It is composed of a visceral inner layerIt is composed of a visceral inner layer
formed by specialized cellsformed by specialized cells
called podocytes.called podocytes.
Parietal outer layer composed of simpleParietal outer layer composed of simple
squamous epithelium.squamous epithelium.
25. Fluids from blood in the glomerulus areFluids from blood in the glomerulus are
filtered through the visceral layer offiltered through the visceral layer of
podocytes, resulting in the glomerularpodocytes, resulting in the glomerular
filtrate.filtrate.
26. NOTENOTE
Renal corpuscleRenal corpuscle
Glomerulus plus capsuleGlomerulus plus capsule
Glomerulus enclosed in two-layered glomerularGlomerulus enclosed in two-layered glomerular
capsulecapsule
““Bowman’s capsule”Bowman’s capsule”
Fluid filters from glomerular capillariesFluid filters from glomerular capillaries
““Glomerular filtrate”Glomerular filtrate”
Fluid collects in capsular spaceFluid collects in capsular space
Fluid flows into renal tubuleFluid flows into renal tubule
27.
28. Renal tubuleRenal tubule
Leads from glomerular capsuleLeads from glomerular capsule
Ends at tip of medullary pyramidEnds at tip of medullary pyramid
~3 cm long~3 cm long
Four major regionsFour major regions
Proximal convoluted tubuleProximal convoluted tubule
Nephron loopNephron loop
Distal convoluted tubuleDistal convoluted tubule
Collecting ductCollecting duct
29.
30. Proximal convoluted tubuleProximal convoluted tubule
(PCT)(PCT)
Arises from glomerular capsuleArises from glomerular capsule
Longest, most coiled regionLongest, most coiled region
lies in cortexlies in cortex
lined by simple cuboidal epithelium with brushlined by simple cuboidal epithelium with brush
borders which help to increase the area ofborders which help to increase the area of
absorption greatly.)absorption greatly.)
Prominent microvilliProminent microvilli
Function in absorptionFunction in absorption
31.
32. Nephron loop (“Loop of Henle”)Nephron loop (“Loop of Henle”)
““U” – shaped, distal to PCTU” – shaped, distal to PCT
lies in medullalies in medulla
2 parts2 parts
Descending limb of loop of HenleDescending limb of loop of Henle
Ascending limb of loop of HenleAscending limb of loop of Henle
33. Ascending limb of loop of HenleAscending limb of loop of Henle
The ascending limb of loop of Henle is dividedThe ascending limb of loop of Henle is divided
into 2 segments:into 2 segments:
Lower end of ascending limbLower end of ascending limb is very thin andis very thin and
is lined by simple squamous epithelium.is lined by simple squamous epithelium.
The distal portion of ascending limbThe distal portion of ascending limb is thickis thick
and is lined by simple cuboidal epithelium.and is lined by simple cuboidal epithelium.
Thin ascending limb of loop of HenleThin ascending limb of loop of Henle
Thick ascending limb of loop of Henle (entersThick ascending limb of loop of Henle (enters
cortex and becomes DCT-distal convolutedcortex and becomes DCT-distal convoluted
tubule.)tubule.)
34. Thick segmentsThick segments
Active transport of saltsActive transport of salts
High metabolism, many mitochondriaHigh metabolism, many mitochondria
Thin segmentsThin segments
Permeable to waterPermeable to water
Low metabolismLow metabolism
35. Distal convoluted tubule (DCT)Distal convoluted tubule (DCT)
Coiled, distal to nephron loopCoiled, distal to nephron loop
Shorter than PCTShorter than PCT
Less coiled than PCTLess coiled than PCT
Very few microvilliVery few microvilli
Contacts afferent and efferent arteriolesContacts afferent and efferent arterioles
Contact with peritubular capillariesContact with peritubular capillaries
36.
37. Collecting ductCollecting duct
DCTs of several nephrons empty into aDCTs of several nephrons empty into a
collecting ductcollecting duct
Passes into medullaPasses into medulla
Several merge into papillary duct (~30 perSeveral merge into papillary duct (~30 per
papilla)papilla)
Drain into minor calyxDrain into minor calyx
38.
39. CLASSESCLASSES
The two general classes of nephrons areThe two general classes of nephrons are
Cortical nephronsCortical nephrons
Juxtamedullary nephronsJuxtamedullary nephrons
which are classified according to thewhich are classified according to the
length of their Loop of Henlelength of their Loop of Henle
location of theirlocation of their renal corpusclerenal corpuscle..
40. All nephrons have their renal corpusclesAll nephrons have their renal corpuscles
in the cortex.in the cortex.
CorticalCortical nephrons have their Loop ofnephrons have their Loop of
Henle in the renal medulla near its junctionHenle in the renal medulla near its junction
with the renal cortex,with the renal cortex,
Loop of Henle of juxtamedullary nephronsLoop of Henle of juxtamedullary nephrons
is located deep in the renal medulla;is located deep in the renal medulla;
47. The UretersThe Ureters
Pair of muscular tubesPair of muscular tubes
Extend from renal pelvis to the bladderExtend from renal pelvis to the bladder
Oblique entry into bladder prevents backflow of urineOblique entry into bladder prevents backflow of urine
48. Histology of UreterHistology of Ureter
Mucosa –Mucosa – transitionaltransitional
epitheliumepithelium
MuscularisMuscularis – two layers– two layers
Inner longitudinal layerInner longitudinal layer
Outer circular layerOuter circular layer
AdventitiaAdventitia – typical– typical
connective tissueconnective tissue
49. Carry urine from kidneys to urinaryCarry urine from kidneys to urinary
bladder via peristalsisbladder via peristalsis
Rhythmic contraction of smooth muscleRhythmic contraction of smooth muscle
Enter bladder from belowEnter bladder from below
Pressure from full bladder compressesPressure from full bladder compresses
ureters and prevents backflowureters and prevents backflow
50. Small diameterSmall diameter
Easily obstructed or injured by kidneyEasily obstructed or injured by kidney
stones (renal calculi)stones (renal calculi)
51. Urinary BladderUrinary Bladder A collapsible muscularA collapsible muscular
sacsac
Stores and expels urineStores and expels urine
Full bladder –Full bladder –
sphericalspherical
• Expands into theExpands into the
abdominal cavityabdominal cavity
Empty bladder – liesEmpty bladder – lies
entirely within theentirely within the
pelvispelvis
Figure 23.13
53. Wrinkles termed rugaeWrinkles termed rugae
Openings of ureters common site forOpenings of ureters common site for
bladder infectionbladder infection
Urinary bladderUrinary bladder
54. UrethraUrethra
Conveys urine from bodyConveys urine from body
Internal urethral sphincterInternal urethral sphincter
Retains urine in bladderRetains urine in bladder
Smooth muscle, involuntarySmooth muscle, involuntary
External urethral sphincterExternal urethral sphincter
Provides voluntary control over voiding of urineProvides voluntary control over voiding of urine
55. Urethra in femaleUrethra in female
3 – 4 cm long in females3 – 4 cm long in females
Bound by connective tissue to anterior wall ofBound by connective tissue to anterior wall of
vaginavagina
Urethral orifice exits body between vaginalUrethral orifice exits body between vaginal
orifice and clitorisorifice and clitoris
56.
57. Urethra in maleUrethra in male
~~18 cm long in males18 cm long in males
Prostatic urethraProstatic urethra
• ~2.5 cm long, urinary bladder~2.5 cm long, urinary bladder
prostateprostate
Membranous urethraMembranous urethra
• ~0.5 cm, passes through floor of~0.5 cm, passes through floor of
pelvic cavitypelvic cavity
Penile urethraPenile urethra
• ~15 cm long, passes through penis~15 cm long, passes through penis
58.
59. URINE ELIMINATIONURINE ELIMINATION
Urination (micturition)Urination (micturition)
~200 ml of urine held~200 ml of urine held
Distension initiates desire to voidDistension initiates desire to void
Internal sphincter relaxes involuntarilyInternal sphincter relaxes involuntarily
Smooth muscleSmooth muscle
External sphincter voluntarily relaxesExternal sphincter voluntarily relaxes
Skeletal muscleSkeletal muscle
Poor control in infantsPoor control in infants
Bladder muscle contractsBladder muscle contracts
Urine forces through urethraUrine forces through urethra
60. Figure 26.1
Urinary SystemUrinary System Kidneys – produceKidneys – produce
urineurine
Ureters –transportUreters –transport
urine to bladderurine to bladder
Urinary bladder -Urinary bladder -
stores urinestores urine
Urethra transportsUrethra transports
urine to exteriorurine to exterior
61. Functions of the urinary systemFunctions of the urinary system
Homeostatic regulation of blood plasmaHomeostatic regulation of blood plasma
Regulating blood volume and pressureRegulating blood volume and pressure
Regulating plasma ion concentrationsRegulating plasma ion concentrations
Stabilizing blood pHStabilizing blood pH
Conserving nutrientsConserving nutrients
62. Filter many liters of fluid from bloodFilter many liters of fluid from blood
Excretion - The removal of organic wasteExcretion - The removal of organic waste
products from body fluidsproducts from body fluids
UreaUrea
Uric acidUric acid
CreatinineCreatinine
Elimination - The discharge of waste productsElimination - The discharge of waste products
into the environmentinto the environment
Editor's Notes
FG26_03A1.JPG
Title: Structure of the Kidney
Notes: (a)Frontal section through kidney. (b)Shadow drawing showing arrangement of calyces and renal pelvis. (c)Urogram showing calyces, renal pelvis, and ureter.
Keywords: kidney, frontal, cortex, medulla, renal sinus, renal capsule, hilus, ureter, renal papilla, renal capsule, renal columns, minor calyx, major calyx, renal pelvis, renal pyramids