Urinary Organs Flashcards
2 layers of fat in the kidneys
Perirneal
Pararenal
Perineal fat is found
Inside the renal fascia
Pararenal fat is found
Outside the renal fascia
What are kidneys?
Retroperitoneal glands invested in a fibro-fatty layer composed of 2 layers of fat and a membrane
What is the membrane of the kidney?
Renal fascia (Gerota’s fascia)
What are the 2 surfaces of the kidney
Anterior and posterior
What are the 2 borders of the kidney?
Lateral and medial
What are the 2 ples of the kidney?
Superior and inferior
Do the suprarenal glands touch they kidneys?
No
They are separated from the kidneys by the perirenal fat capsule
What organs come into contact with the kidneys?
Liver
Colic flexture
Duodenum
Stomach
Spleen
Pancreas
Descending colon
What 4 segements are kidneys divided into?
Anterior
Posterior
Apical
Basilar
Medulla of kidney divides into
Medullary pyrmaids with renal columns made of cortical tissue between them
Renal pyramids have __ that point toward the center of the kidney
Renal papilla
Renal tubules dump into ___ that then join to form ___ and then into ___
Dump into minor calices and then join to form major calices and then into the renal pelvis
Renal columns (function)
Separate renal pyramids from each other
Renal pyramids (function)
Come together to form the renal papilla
Renal papilla are located
The apex of the renal pyramid
Minor calyces are
The beginning of the extrarenal duct system
They are cup-shaped structures that receive renal papillae
Major calyces (function)
Receive minor calyces which drain urine from superior, middle, and inferior portions of the kidney
Renal pelvis (function)
Flattened funnel-shaped expansion of the superior end of the ureter
The apex of the renal pelvis is continuous with
the ureter
Renal arteries (structure)
Single vessels that extend from the aorta that branch into several segmental arteries before entering the renal sinus
Right renal artery runs posterior to
IVC
Left renal artery runs posterior to
Left renal vein
Interlobar arteries
Pass through renal columns to supply each pyramid
Arcuate arteries are
branches of interlobar arteries that supply each pyramid
Interlobular arteries are branches of
Arcuate artery that become the afferent arterioles
The left renal vein is anterior to___ and posterior to ___
Anterior to aorta and left renal artery
Posterior to SMA
The renal veins eventually drain into the
IVC
The left renal vein is in continuity with
Left gonadal vein
Left inferior adrenal vein
Lumbar vein
Left adrenal vein enters ___ while the left gonadal vein enters ___
Adrenal enters superiorly
Gonadal enters inferiorly
What are the 3 stages in kidney embryology?
Pronephros
Mesonephros
Metanephros
Mesonephros becomes the ___ which will form the __
Beceoms the Wolffian duct which will form the male reproductive system
Metanephros will give rise to
Collecting tubules
Minor and Major calyces
Renal pelvis
Ureters
Development- as the gonads move downward, they are being pulled into the inguinal canal by the
Gubernaculum
Ureters are
Muscular structures that carry urine from the kidneys to the bladder
Ureters are located
Anterior to the psoas muscle and run from the renal pelvis to the bladder
Posterior to the renal vessels
Ureters are surrounded by
Perirenal fat
Ureters cross over ___ and under ___
Cross over genitofemoral nerve and the common iliac or external iliac artery
Cross under gonadal vessels
What are the 3 sites of ureter constriction
Junction of the ureters and renal pelvis
Brim of the pelvic inlet
Passage through wall of the bladder
The proximal ureter is supplied by the
Aorta/renal artery
The distal ureter is supplied by
Branches from iliac arteries
Veins of the ureter drain into
The renal and gonadal vein
Upper part of the ureter extends from
Renal pelvis to lower pole
Upper part of the ureter is supplied by
Renal, adrenal, and gonadal arteries
Middle part of the ureter extends from
Lower pole to pelvic brim
Middle part of the ureter is supplied by
Gonadal arteries
Aorta
Common iliac
Lower part of the ureter extends from
Pelvic brim to bladder
Lower part of the ureter is supplied by
Internal iliac
Superior vesical
Inferior vesical
Location of ureter in males
Vas deferens passes anteriorly
Enters bladder just above the apex of the seminal vesicle
Location of ureter in females
Uterine artery passes anterioly
Pelvic ureter crosses ovarian vessels and nerves posteriorly
Anterior to internal iliac artery
Posterior to ovary under broad ligament, just behind uterine vessels
Bladder location
Located in retropubic space in an extraperitoneal position
Parts of the bladder
Apex
Body
Fundus
Neck
Uvula
Apex of the bladder (location)
Anterior end that points toward the superior edge of the pubic symphysis
Uvula of the bladder (location)
Slight projection of trigone
Trigone
Smooth area within the base of the bladder
Trigone is bounded by
3 orifices:
Right and left uretrovesical orifices
Internal urethral meatus
Bladder wall is composed of
Detrusor muscle
Blood supply of bladder
Superior, middle and inferior vesicle arteries
Veins of bladder drain into
Internal iliac vein
Embryology of the bladder- cloaca is divided by ___ into
Divided by urorectal septum into the dorsal rectum and ventral urogenital sinus
3 parts of the urogenital sinus
Vesical
Pelvic
Phallic
Embryology of bladder- vesicle forms
Most of the urinary bladder
Embryology of the bladder- pelvic portion becomes
Urethra in neck of bladder
Embryology of bladder- plevic portion becomes ___ in males and ___ in females
Produces prostatic and membranous portions of urethra in males
Produces membranous urethra in females
Embryology of bladder- phallic portion becomes
Urogenital sinus
Embryology of bladder- phallic portion becomes ___ in males and ___ in females
Forms penile urethra in males
Forms vestibule of vagina in females
Male urethra is derived from
Endoderm of the urogenital sinus
Function of male urethra
Allows urine to pass from internal urethral orifice of bladder to external urethral orifice at tip of penis
4 parts of male urethra
Preprostatic
Prostatic
Membranous
Spongy
Preprostatic portion of male urethra extends from
Bladder neck to prostate
Prostatic portion of male urethra located in
Prostate
Membraous portion of male urethra is located
within urogenital diaphragm
Spongy part of male urethra is
The distal part of the urethra
Blood supply to preprostatic and prostatic portions of male urethra comes from
Prostatic branches of inferior vesical and middle rectal arteries
Blood supply to membranous portion of male urethra comes from
Branches of the dorsal artery and artery of the blub of the penis from the internal pudendal
Blood supply to penile portion of male urethra comes from
Urethral artery
Bulbar artery
Branches of the dorsal artery
Venous drainage of the male urethra occurs via
Prostatic plexus and internal pudendal veins
The female urethra is derived from
Endoderm of the urogenital sinus
Female urethra location
Anterior to vagina
Extraperitoneal bladder rupture is almost always associated with
Pelvic fractures
Intraperitoneal bladder rupture results from
Trauma to lower abdomen when the bladder is distended