Urogenital System Anatomy Flashcards
Urinary System - Components
Kidney: paired
Urinary tract: paired ureters, urinary bladder and urethra
Kidneys - Components and Location
Retroperitoneal
In posterior body wall. Superior portion protected by 11th and 12th rib.
Left: extends from T12 to L3.
Right: lower because of liver.
11 cm long, 6 cm wide, 150g.
Adrenal glands on top for endocrine functions.
External Anatomy of the Kidneys - External layers
Kidneys are protected by 3 external layers of connective tissue:
- Renal fascia
- Adipose capsule
- Renal capsule
Renal Fascia - Kidney
Attaches each kidney to the peritoneum and to the fascia covering the muscles of the posterior abdominal wall.
Adipose Capsule - Kidney
Adipose tissue to protect from shock, layer of fat.
Renal Capsule - Kidney
Covers the exterior of each kidney to protect from infection and physical trauma.
Renal Hilum
Medial surface where: - Renal artery - Renal vein - Renal nerves - Ureter enter and exit. Opens to the Central cavity: renal sinus
Renal Sinus
Central cavity lined by renal capsule, filled with urine-draining structures and adipose tissue.
anchors the ureter, blood vessels, and nerves in place.
Internal Anatomy of the Kidneys
3 distinct regions:
- Outermost renal cortex
- Middle renal medulla
- Inner renal pelvis
Renal Cortex and Renal Medulla
Form urine
Cone-shaped renal pyramids within the medulla.
Contain 1 million nephrons.
Renal Pelvis and Associated Structures - function
Drain urine that cortex and medulla have formed.
Renal Column
Extension of renal cortex. Includes Blood vessels that branch from renal artery that travel in the cortex.
Nephron
Functional unit of the kidneys.
Filters blood and produces urine.
- Globe shaped renal corpuscle.
- Long renal tube
Papilla - Kidney
Borders with Minor calyx, that is the first draining structure.
Minor and major calyx drain urine into renal pelvis leading to ureter.
Blood Supply - Kidneys
Receive 1/4 of cardiac output.
Right and left renal arteries (from abdominal aorta).
1. Renal artery → 2. Segmental artery → 3. Interlobar artery → 4. Arcuate artery → 5. Interlobular artery → 6. afferent arteriole → 7. Glomerulus → 8. Efferent arteriole
9. Peritubular capillaries → 10. Interlobular vein → 11. Arcuate vein → 12. Interlobar vein → 13. Renal vein.
Renal vein exits through hilum and empties into inferior vena cava.
Anatomical Relations - Right Kidney
Anterior: Suprarenal gland, liver, duodenum, right colic flexure.
Posterior: Diaphragm, 12th rib, psoas major, quadratus lumborum, transversus abdominis.
Anatomical Relations - Left Kidney
Anterior: Suprarenal gland, spleen, stomach, pancreas, left colic flexure, jejunum.
Posterior: Diaphragm, 11 & 12 rib, psoas major, quadratus lumborum, transversus abdominis.
Urinary Tract
- Ureters: Tubes running posteriorly connected to the urinary bladder. Pathway for urine to bladder.
- Urinary Bladder: Stores urine
- Urethra: Tube connecting bladder to the outside of the body to expel urine. (longer in men).
Ureters - Size, Location, mechanism to prevent back flow
25-30 cm long, 3-4 mm diameter.
From renal pelvis (L2 level), behind peritoneum and empty into bladder.
Mechanism to prevent backflow: increasing pressure with increasing urine, compresses tunnel in bladder, pinching ureter closed.
Anatomical Relations - Ureters
Right ureter:
- Posterior: psoas major, genitofemoral nerve.
- Anterior: duodenum, branches of superior mesenteric vessels.
- Inferior: bladder.
Left ureter:
- Posterior: psoas major, genitofemoral nerve.
- Anterior: branches of inferior mesenteric vessels.
- Inferior: bladder.
Urinary Bladder - Composition, Location
Mostly smooth muscle. Non-voluntary.
Sits on floor of pelvic cavity, suspended by fold of parietal peritoneum. Collapses when empty.
700-800 ml of urine (male), less in female (uterus pressing on top).
Trigone
Triangular area on floor of bladder (important for infection). Prevent backflow during eliminiation.
Internal Urethral Orifice
Opening to the urethra from the bladder.
Anatomical Relations - Bladder Female vs. Male
Male: anterior to the rectum and prostate.
Female: anterior to vagina. Inferior to uterus.