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© 2012 Pearson Education, Inc. 26 The Urinary System
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Page 1: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

26 The Urinary System

Page 2: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Introduction

•The urinary system does more than just get

rid of liquid waste. It also:

• Regulates plasma ion concentrations

• Regulates blood volume and blood pressure

• Stabilizes blood pH

• Prevents the loss of valuable nutrients

• Eliminates organic matter

• Synthesizes calcitriol (active form of vitamin D)

• Prevents dehydration

• Aids the liver with some of its functions

Page 3: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Introduction

•The urinary system consists of:

• Kidneys

• And the associated nephrons

• Ureters

• Urinary bladder

• Urethra

Page 4: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.1a An Introduction to the Urinary System

Anterior view showing the

components of the urinary system

Urethra

Urinary bladder

Ureter

Kidney

Produces urine

Transports urine toward the urinary bladder

Temporarily stores urine prior to elimination

Conducts urine to exterior; in males, transports semen as well

Suprarenal gland

Inferior

vena cava

Aorta

Renal artery

and vein

Page 5: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•The left kidney is positioned higher than the

right kidney

•Both kidneys are capped with the

suprarenal glands

•There are layers of connective tissue that

serve to protect the kidneys

Page 6: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Superficial Anatomy of the Kidney

• The medial indentation is the hilum

• Renal arteries enter at the hilum

• Renal veins and ureters exit at the hilum

Page 7: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.2a The Urinary System in Gross Dissection

Diagrammatic anterior view of the abdominopelvic cavity showing

the kidneys, suprarenal glands, ureters, urinary bladder, and blood

supply to the kidneys

Urinary bladder

Rectum (cut)

Peritoneum

(cut)

Psoas major

muscle

Iliacus muscle

Quadratus

lumborum

muscle

Hilum

Right kidney

Right suprarenal

gland

Celiac trunk

Inferior vena cava

Diaphragm

Left kidney

Left renal artery

Left renal vein

Left ureter

Superior

mesenteric

artery

Abdominal

aorta

Left common

iliac artery

Gonadal artery

and vein

Left suprarenal gland

Esophagus (cut)

Page 8: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Sectional Anatomy of the Kidney

• Consists of:

• Renal cortex

• Renal medulla, which consists of:

• Renal pyramids

• Renal papillae

• Renal columns

• Renal lobe, which consists of:

• Minor calyx

• Major calyx

• Renal pelvis

Page 9: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.3a Structure of the Kidney

Frontal section through the left kidney showing

major structures. The outlines of a renal lobe and a

renal pyramid are indicated by dotted lines.

Renal sinus

Inner layer of

fibrous capsule

Adipose tissue

in renal sinus

Renal pelvis

Hilum

Renal papilla

Ureter

Major calyx

Cortex

Medulla

Renal

pyramid

Connection to

minor calyx

Minor

calyx

Renal lobe

Renal columns

Outer layer of

fibrous capsule

Medulla

Hilum

Ureter

Outer layer of

fibrous capsule

Renal

pyramids

Inner layer of

fibrous capsule

Renal sinus

Renal pelvis

Major calyx

Minor calyx

Renal papilla

Renal lobe

Fibrous capsule

Page 10: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•The Blood Supply to the Kidneys

• Beginning with blood in the renal arteries

• Segmental arteries

• Interlobar arteries

• Arcuate arteries

• Cortical radiate arteries

• Afferent arterioles

• Glomerular capillaries

• Waste is dropped in the nephrons

Page 11: 26 - Welcome to Biology!

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The Kidneys

•The Blood Supply to the Kidneys (continued)

• After waste is dropped off at the nephrons, blood

leaves the kidneys via the following vessels:

• Glomerular capillaries

• Efferent arteriole

• Peritubular capillaries or vasa recta capillaries

• Arcuate veins

• Interlobar veins

• Renal vein

Page 12: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.4a Blood Supply to the Kidneys

Sectional view showing major arteries and

veins. Compare with Figures 26.3 and 26.8.

Arcuate

veins

Arcuate

arteries

Interlobar

veins

Renal

vein

Renal

artery

Suprarenal

artery

Segmental

artery

Interlobar

arteries

Cortical

radiate

arteries

Interlobular

veins

Page 13: 26 - Welcome to Biology!

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Figure 26.7ac Histology of the Nephron

Orientation of cortical and juxtamedullary

nephrons

Cortical

nephron

Juxtamedullary

nephron

Proximal convoluted

tubule

Renal corpuscle

Distal convoluted

tubule

Connecting tubules

Nephron

loop

Thin descending

limb

Thick ascending

limb

Collecting duct

Papillary duct

Renal papilla

Minor calyx

Medulla

Cortex

The renal corpuscle

LM 140 Renal corpuscle

Visceral epithelium

Parietal epithelium

Capsular space

Distal convoluted

tubule

Proximal convoluted

tubule

Glomerulus

Page 14: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Functions of the PCT

• Absorbs organic nutrients, ions, and plasma

protein from the filtrate

• Water is absorbed from the PCT to the

bloodstream

• The capillaries in the PCT region are called the

peritubular capillaries

Page 15: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Functions of the Nephron Loop

• Descending portion

• Water leaves this portion and enters the

bloodstream (thereby preventing dehydration)

• The capillaries surrounding the nephron loop are

called the vasa recta

• Ascending portion

• Pumps ions (sodium ions and chloride ions) out of

the ascending loop thereby preventing the loss of

these ions

Page 16: 26 - Welcome to Biology!

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The Kidneys

•Functions of the DCT

• Active secretion of ions and acids

• Selective reabsorption of sodium and calcium

ions

• Very little reabsorption of water

Page 17: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Functions of the Collecting Duct

• The DCTs of several nephrons drain into the

collecting duct

• The cells of the collecting ducts make final

adjustments to the concentration of the urine

that is about to exit the kidneys

Page 18: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Structure and Function of the Nephron

• Waste (glomerular filtrate) material leaves the

glomerular capillaries and enters:

• Glomerular capsule

• Proximal convoluted tubule (PCT)

• Nephron loop

• Distal convoluted tubule (DCT)

Page 19: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

The Kidneys

•Structure and Function of the Nephron

• Filtrate enters the DCT of several nephrons and

empties into a common tube called the

collecting duct

• Filtrate enters the papillary duct

• Minor calyx

• Major calyx

• Ureter

• Urinary bladder

• Urethra

Page 20: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.7ac Histology of the Nephron

Orientation of cortical and juxtamedullary

nephrons

Cortical

nephron

Juxtamedullary

nephron

Proximal convoluted

tubule

Renal corpuscle

Distal convoluted

tubule

Connecting tubules

Nephron

loop

Thin descending

limb

Thick ascending

limb

Collecting duct

Papillary duct

Renal papilla

Minor calyx

Medulla

Cortex

The renal corpuscle

LM 140 Renal corpuscle

Visceral epithelium

Parietal epithelium

Capsular space

Distal convoluted

tubule

Proximal convoluted

tubule

Glomerulus

Page 21: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.6 A Typical Nephron

NEPHRON

PROXIMAL CONVOLUTED TUBULE

DISTAL CONVOLUTED TUBULE

RENAL CORPUSCLE

NEPHRON LOOP

PAPILLARY DUCT

CONNECTING TUBULES

AND COLLECTING DUCT

COLLECTING SYSTEM

Nucleus

Microvilli

Mitochondria

Reabsorption of water, ions, and all organic nutrients

Secretion of ions, acids,

drugs, toxins

Variable reabsorption of water, sodium ions, and calcium ions

(under hormonal control)

Renal tubule

Efferent arteriole

Afferent arteriole

Ascending limb of loop ends

Ascending limb

Descending limb of

loop ends

Descending limb

Parietal (capsular) epithelium

Capsular space

Visceral (glomerular)

epithelium

Capillaries of glomerulus

Production of filtrate

Further reabsorption of water (descending limb) and both sodium and chloride ions (ascending limb)

Thin descending

limb

Thick ascending

limb

Minor calyx

Delivery of urine to

minor calyx

Variable reabsorption of water and

reabsorption or secretion of

sodium, potassium, hydrogen, and

bicarbonate ions

Collecting duct

Connecting tubules

Page 22: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•The Ureters

• Exit the kidney at the hilum area

• Extend to the urinary bladder

• Enter the urinary bladder on the

posterior/inferior side

• The entrance to the urinary bladder is the

ureteral openings in the trigone area

Page 23: 26 - Welcome to Biology!

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Figure 26.10c Organs Responsible for the Conduction and Storage of Urine

Anatomy of the urinary

bladder in a male

Trigone

Center of

trigone

Neck of

urinary

bladder

Prostate

gland

Prostatic

urethra

Membranous

urethra

External urethral

sphincter (in urogenital

diaphragm)

Internal urethral

sphincter

Ureteral

openings

Rugae

Ureter

Detrusor

muscle

Lateral

umbilical

ligament

Median umbilical

ligament (urachus)

Page 24: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•Histology of the Ureters

• Each ureter consists of three layers

• Inner mucosa

• Middle muscular layer (consisting of longitudinal

and circular muscles)

• Adventitia (this is continuous with the fibrous

capsule)

Page 25: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•The Urinary Bladder

• Males

• The base of the urinary bladder is between the

rectum and the symphysis pubis

• Females

• The base of the urinary bladder is inferior to the

uterus and anterior to the vagina

Page 26: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.10a Organs Responsible for the Conduction and Storage of Urine

Position of the ureter, urinary

bladder, and urethra in the male

Left ureter Rectum Peritoneum

Pubic

symphysis

Prostate

gland

Urogenital

diaphragm Urethra

[see part c]

External

urethral

orifice

Spongy

urethra

External

urethral

sphincter

Urinary

bladder

Page 27: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.10b Organs Responsible for the Conduction and Storage of Urine

Position of the ureter, urinary

bladder, and urethra in the female

Vestibule

Right ureter

Urinary

bladder

Internal urethral

sphincter

Urethra

External urethral

sphincter (in

urogenital diaphragm)

Pubic

symphysis

Vagina

Peritoneum

Uterus

Rectum

Page 28: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•Histology of the Urinary Bladder

• The muscular layer of the urinary bladder is

called the detrusor muscle

• At the exit of the urinary bladder and entrance

to the urethra is a smooth muscle that makes

up the internal urethral sphincter

• This is under involuntary control

Page 29: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•Histology of the Urinary Bladder (continued)

• As the urethra passes through the urogenital

diaphragm there is a skeletal muscle that

makes up the external urethral sphincter

• This is under voluntary control – this is the sphincter

we learned to control as an infant

• We lose control as we age

• We lose control due to some spinal cord injuries

Page 30: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.10c Organs Responsible for the Conduction and Storage of Urine

Anatomy of the urinary

bladder in a male

Trigone

Center of

trigone

Neck of

urinary

bladder

Prostate

gland

Prostatic

urethra

Membranous

urethra

External urethral

sphincter (in urogenital

diaphragm)

Internal urethral

sphincter

Ureteral

openings

Rugae

Ureter

Detrusor

muscle

Lateral

umbilical

ligament

Median umbilical

ligament (urachus)

Page 31: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Structures for Urine Transport, Storage, and

Elimination

•The Urethra

• Female

• 3 to 5 cm in length

• The external urethral orifice is near the anterior

wall of the vagina

• Male

• 18 to 20 cm in length

• Subdivided to form the prostatic urethra,

membranous urethra, and spongy urethra

Page 32: 26 - Welcome to Biology!

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Structures for Urine Transport, Storage, and

Elimination

•The Urethra

• Male (continued)

• Prostatic urethra passes through the prostate

gland

• Membranous urethra is a short segment that goes

through the urogenital diaphragm

• Spongy urethra (penile urethra) extends through

the penis to the external urethral orifice

Page 33: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Figure 26.10 Organs Responsible for the Conduction and Storage of Urine

Anatomy of the urinary

bladder in a male

The male urinary bladder and accessory reproductive

structures as seen in posterior view

Position of the ureter, urinary

bladder, and urethra in the female

Position of the ureter, urinary

bladder, and urethra in the male

Left ureter Rectum Peritoneum

Pubic

symphysis

Prostate

gland

Urogenital

diaphragm

Urethra

[see part c]

External

urethral

orifice

Spongy

urethra

External

urethral

sphincter

Urinary

bladder

Vestibule

Right ureter

Urinary

bladder

Internal urethral

sphincter

Urethra

External urethral

sphincter (in

urogenital diaphragm)

Pubic

symphysis

Vagina

Peritoneum

Uterus

Rectum

Peritoneum

Ductus

deferens

Seminal

gland

Posterior surface

of prostate gland

Right

ureter

Base of

urinary

bladder

Prostatic

urethra

Trigone

Center of

trigone

Neck of

urinary

bladder

Prostate

gland

Prostatic

urethra

Membranous

urethra External urethral

sphincter (in urogenital

diaphragm)

Internal urethral

sphincter

Ureteral

openings

Rugae

Ureter

Detrusor

muscle

Lateral

umbilical

ligament

Median umbilical

ligament (urachus)

Page 34: 26 - Welcome to Biology!

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Structures for Urine Transport, Storage, and

Elimination

•The micturition reflex and urination

• The first urge to urinate is when the urinary

bladder fills to about 200 ml

• Greater than 200 ml will cause the internal

urethral sphincter to open

• The external urethral sphincter will open

(voluntarily) to expel the stored urine

• Between 500 ml and 800 ml, even the

external urethral sphincter will open

Page 35: 26 - Welcome to Biology!

© 2012 Pearson Education, Inc.

Aging and the Urinary System

•Age related problems include:

• Nephrons decrease in number

• Glomerular filtration rate declines

• Reduced sensitivity to hormones such as

antidiuretic hormone (ADH) resulting in

frequent urination

• Micturition problems

• Urethral sphincters lose muscle tone leading to

incontinence

• Urinary retention may lead to infections