genitourinary system Flashcards
what is the region below the pelvic floor called?
perineum
what structure extends from perineum?
- external genitalia
what can the pelvis be divided into?
- greater (false) and lesser (true) pelvis based on bony pelvis
lesser = pelvic cavity
what is the purpose of the female reproductive system?
- conceiving
- developing the offspring
what does the female reproductive system consist of?
- vagina
- uterus
- uterine (Fallopian tubes)
- ovaries
where do the organs of reproduction sit?
- lesser pelvis
what is the purpose of the main reproductive system?
- introduction of male sex cell into female reproductive system
what are the internal organs of the male reproductive system?
- testes
- epididymides
- ductus deferentes
- seminal vesicles
- ejaculatory ducts
- prostate
- bulbourethral glands
where do the testes sit?
- outside the body in the scrotum
where do the rest of the components sit?
- within lesser pelvis
what does the urinary system consist of?
- paired kidneys
- ureters (left and right)
- muscular urinary bladder
- urethra
where do these structures sit?
- abdomen
- pelvic cavity
- extend into perineum/external genitalia
what is the purpose of the urinary system?
- excretion of urea and other toxins
- maintenance of blood volume and osmolarity
what are the functions of the kidneys?
- excrete most the waste products of metabolism
- filter the blood
- remove waste
- produce urine
- control water volume, ion concentrations
- maintain acid/base balance of blood
what is the outer layer of the kidneys?
- cortex
what is the inner layer of the kidneys?
- medulla
what is the function of nephrons?
- in cortex and medulla
- filter waste products from blood, forming urine
what do the pyramids of the cortex drain into?
- minor calyces
what do the major calyces drain into?
- renal pelvis
- empties through ureters towards bladder
what is the renal pelvis?
- funnel formed from ureter leaving the kidney
what is the point where structures enter/exit the kidney known as?
- hilum
what structures enter/exit kidney through hilum?
- renal vein
- renal artery
- ureter
- lymphatics and sympathetics
what is the nephron?
- functional unit of the kidney
where does blood enter kidneys for filtration?
- through glomeruli
what are the glomeruli contained within?
- bowman capsule
what occurs at the bowmans capsule?
- constituents of plasma filtered out the blood
- large molecules remain in, water and waste leave
what molecules are absorbed?
- glucose
- ions
what its reabsorbed in the proximal convoluted tubule?
- glucose
- ions
- anything useful to body
what is absorbed in loop of Henle?
- water
what occurs in distal convoluted tubule?
- any waste not filtered out in capsule is secreted into lumen of nephron
what is reabsorbed in the collecting duct?
- water and ions
what does reabsorption in collecting duct control?
- volume of urine produced
where is antidiuretic hormone released from?
- posterior pituitary
what does antidiuretic hormone do?
- makes collecting duct more permeable
- allows reabsorption of water
what supplies the blood to the kidney?
- renal arteries
what are renal arteries?
- two large branches of abdominal aorta
- arise below level of L1.
what do renal arteries divide into?
- afferent arterioles which feed into glomeruli
where do efferent arterioles go?
- run from glomeruli and wrap around nephron
what are the arteries around the loop of Henle called?
- vasa recta
what do the vasa recta do?
- drain into renal veins
- which empty into inferior vena cava
where are the kidneys located?
- retroperitoneally (behind the peritoneum) on posterior body wall
- one either side of vertebral column
sit at level of T12 to L3 vertebrae
what are the kidneys partially protected by?
ribs 11 - 12
which kidney lays lower?
- right kidney
why does the right kidney lay lower?
- due to large right lobe of liver
what do the kidneys look like?
- red/brown in colour
- oval in shape
how are kidneys related to diaphragm?
- inferiorly
- allows to separate from pleural cavities and 12th ribs
what are both kidneys related to?
- superiorly to suprarenal or adrenal glands
what is the right kidney related to?
anteriorly to:
- liver
- duodenum
- ascending colon
what is the left kidney related to?
- stomach
- spleen
- pancreas
- jejunum
- descending colon
where are the adrenal glands located?
- superior aspect of each kidney
what do adrenal glands do?
- produce body chemical messengers (adrenaline & steroid)
what hormones are secreted from the adrenal cortex?
- cortisol (glucocorticoid)
- aldosterone (mineralocorticoid)
- sex hormones (gonadocorticoids)
what hormones are secreted from the adrenal medulla?
- adrenaline (epinephrine)
- noradrenaline (norepinephrine)
how are congenital abnormalities caused?
- by abnormal development of the kidneys and ureters in foetus
what is a bifid renal pelvis?
- duplex kidney with duplication of renal pelvis and a common ureter
where do bifid ureters usually join?
- along their course as separate entrances to the bladder are uncommon
where are the kidneys located in embryonic development?
- close together in pelvis
what is a horseshoe kidney?
- when inferior ends fuse
- U shaped kidney
- lies lower than normal kidneys
what is the medical term for kidney stones?
- renal calculi
what are kidney stones?
- mainly crystal aggregations that form in collecting ducts of kidneys
- may be deposited anywhere from kidney to urethra
what are the symptoms of stones in kidney?
- loin pain
what are the symptoms of stones in ureter?
- renal colic
what symptoms are kidney stones generally associated with?
- nausea
- vomitting
what are kidney stones caused from?
- dehydration
- diet
- have numerous predisposing illnesses
what are the ureters?
- two muscular tubes that empty urine from their respective kidneys and carry to urinary bladder
what do the walls of the ureters consist of?
- three layers of smooth muscle fibres
what do the smooth muscle fibres do?
- spiral around the tube
- aid peristaltic contractions that force urine into bladder
where are the ureters located?
- descend from kidneys
- behind peritoneum
- enter the pelvis
what happens when bladder is full or contracting?
- smooth muscle fibres act as valves and prevent urinary reflux into ureters
what are the three regions where the ureters narrow?
- at junction between ureters and renal pelvis
- where ureters cross brim of pelvic bone
- in entrance of ureters into bladder
what are kidney stones?
- condensations of minerals that can occur in calices of kidneys or ureters
where can the calices cause blockages?
- ureters
what is the purpose of the bladder?
- temporary reservoir for urine
what are the properties of the bladder?
- can vary in size, shape, relations and position according to content and state of neighbouring viscera
what are the 3 layers of the bladder walls?
- internal
- middle
- external
what do these 3 layers form?
- detrusor muscle
what are the alignments of the fibres in the layers?
- internal and external = longitudinal directional
- middle = roughly circular direction
what is the bladder musculature?
- distorted continuation of 3 layers of spiral smooth muscle that surround the ureters
what is the urinary system lined with?
- specialised epithelium
- transitional epithelium
- urothelium
what are the purposes of these cells?
- can stretch, shift over one another and flatten
- 1-2 cells thick in empty bladder, 5-6 cells thick in full
what are the properties of non distended urothelium?
- cuboidal basal layer
- polygonal celled middle layers
- tall columnar cells in surface layer
where does an empty bladder sit in adults?
- anteriorly in lesser pelvis
- inferior to peritoneum
where does a full bladder sit in adults?
- extends superiorly in extraperitoneal fat of anterior body wall
where does the bladder sit in infants?
- abdomen when full and empty
what is found at the junction between the bladder and the urethra?
- smooth muscle sphincter (internal urethral sphincter)
what is the smooth muscle sphincter controlled by?
- autonomic innervation
is the internal urethral sphincter found in males or females?
- males
what is the function of the internal urethral sphincter?
- prevents ejaculatory reflux of semen into bladder
what is the urethra?
- continuation of smooth muscle of the bladder
- contains skeletal muscle sphincter (external urethral sphincter)
what control is the external urethral sphincter under?
- voluntary control
what is the urethra?
- muscular walled tube through which urine is expelled from bladder during urination
what is the function of the urethra in males?
- transports sperm and semen
what other structures are present in female urethra?
- vaginal opening
- urethral opening (external urethral orifice)
what is the appearance of the urethra in females?
- short
- straight
how does this differ to structure in males?
- longer
what 4 parts can the male urethra be split into?
- pre prostatic (intramural)
- prostatic
- membranous (intermediate)
- penile (spongy)
why are urinary tract infections (UTIs) more common in females?
- female urethra length is shorter
- proximity to the anus
what are UTIs?
- urinary tract infections
- includes bladder, urethra or kidneys