2304 Urinary
2304 Urinary
2304 Urinary
Figure 26.1
Location and External Anatomy of Kidneys
Located retroperitoneally
Lateral to T12L3 vertebrae
Average kidney
12 cm tall, 6 cm wide, 3 cm
thick
Hilus
On concave surface
Vessels and nerves enter and
exit
Renal capsule surrounds the
kidney
Urinary System in Gross Dissection
Figure 26.3
Internal Gross Anatomy of the Kidneys
Frontal section through the
kidney
Renal cortex
Renal pyramids
Renal pelvis
Major calicies
Minor calicies
Gross vasculature
Renal arteries
Branch into segmental
arteries
Anatomy of the kidneys
Superficial outer cortex and inner medulla
The medulla consists of 6-18 renal pyramids
The cortex is composed of roughly 1.25 million nephrons
Major and minor calyces along with the pelvis drain urine to
the ureters
Nephron The Functional Unit of Kidney
Figure 23.6a
Glomerulus anatomy
Podocytes cover lamina densa of
capillaries
Project into the capsular space
Pedicels of podocytes separated by
filtration slits
Two types of nephron
Cortical nephrons
~85% of all nephrons
Located in the cortex
Juxtamedullary nephrons
Closer to renal medulla
Loops of Henle extend
deep into renal
pyramids
Nephron
Proximal convoluted
tubule (PCT)
Actively reabsorbs
nutrients, plasma proteins
and ions from filtrate
Released into peritubular
fluid
Loop of Henle
Descending limb
Ascending limb
Each limb has a thick and
thin section
Nephron
Distal convoluted
tubule (DCT)
Actively secretes
ions, toxins, drugs
Reabsorbs sodium
ions from tubular
fluid
Collecting Tubules (Collecting ducts)
Collecting tubules - Receive urine from
distal convoluted tubules
Figure 23.8
Uriniferous Tubule
Figure 23.5a
Types Of Capillary Beds In Nephron
Glomerulus - Fed and
drained by afferent and
efferent arterioles
Peritubular capillaries
Arise from efferent
arterioles
Low-pressure, porous
capillaries
Absorb solutes
Vasa recta
Thin-walled looping vessels
Part of the kidneys urine-
concentrating mechanism
Mechanisms of Urine Production
Filtration - filtrate of
blood leaves kidney
capillaries
Reabsorption most
nutrients, water, and
essential ions reclaimed
Secretion - active process
of removing undesirable
molecules
Microscopic Anatomy of the Kidney
Juxtaglomerular apparatus
Functions in the regulation of blood pressure
Juxtaglomerular cells secrete renin
Macula densa
A portion of distal convoluted tubule
Tall, closely packed epithelial cells
Act as chemoreceptors
Summary of Nephron Function
Mucosa transitional
epithelium
Muscularis two layers
Inner longitudinal layer
Outer circular layer
Adventitia typical
connective tissue
Urinary Bladder
A collapsible muscular
sac
Stores and expels urine
Full bladder spherical
Expands into the
abdominal cavity
Empty bladder lies
entirely within the pelvis
Figure 23.13
Urinary Bladder
Wall of bladder
Mucosa - transitional epithelium
Muscular layer - detrusor muscle
Adventitia
The urethra
Extends from the urinary bladder to the exterior of the body
Passes through urogenital diaphragm (external urinary sphincter)
Differs in length and function in males and females
Internal urethral sphincter - involuntary smooth muscle
External urethral sphincter - voluntarily inhibits urination, relaxes when
one urinates
Urinary Bladder and Urethra - Male
Males 20 cm in
length
Three named regions
Prostatic urethra -
passes through the
prostate gland
Membranous urethra -
through the urogenital
diaphragm
Spongy (penile)
urethra passes through
the length of the penis
Figure 23.16a
Urinary Bladder and Urethra - Female
In females - length of 34 cm
The smooth triangular region of the base is is called the
trigone - many bladder infections persist in this region
Urethra
Epithelium of urethra
Transitional epithelium at the proximal
end (near the bladder)
Stratified and pseudostratified columnar
mid urethra (in males)
Stratified squamous epithelium at the
distal end (near the urethral opening)
Micturition
Bladder can hold 250 -
400ml
Greater volumes stretch
bladder walls initiates
micturation reflex:
Urination coordinated by
micturition reflex
Initiated by stretch receptors
in wall of bladder
Urination requires coupling
micturition reflex with
relaxation of external
urethral sphincter
Blood Flow Through the Kidney