BIOL 2304 The Urinary System Functions of the Urinary System Homeostatic regulation of blood plasma Regulating blood volume and pressure Regulating plasma ion concentrations Stabilizing blood pH Conserving nutrients Filter many liters of fluid from blood Excretion - the removal of organic waste products from body fluids Urea Uric acid Creatinine Elimination - the discharge of waste products into the environment Urinary System Kidneys – produce urine Ureters – transport urine to bladder Urinary bladder – stores urine Urethra – transports urine to exterior Urinary System in Gross Dissection 1 Location and Size of Kidneys Located retroperitoneally – Within the abdominal cavity, behind the peritoneum Lateral to T12 – L3 vertebrae Average kidney 12 cm tall, 6 cm wide, 3 cm thick External Anatomy of Kidneys Hilum A cleft on concave surface Vessels, ureters, and nerves enter and exit Renal capsule – a fibrous capsule of dense CT that surrounds the kidney Anatomy and Vasculature of the Kidneys Internal Gross Anatomy Renal cortex Renal medulla Renal pyramids Renal columns (between pyramids) Renal papillae (base of pyramids) Renal pelvis Minor calyces (drain to major calyx) Major calyces (drain to ureter) Gross Vasculature: Renal arteries Branch into segmental arteries 2 Blood Flow Through the Kidneys 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 Two or three minor calyces converge to form a major calyx Major calyces along with the pelvis drain urine to the ureters 3 Nephron – The Functional Unit of Kidney Nephron consists of: Renal corpuscle Bowman’s capsule Glomerulus Renal tubule: Proximal convoluted tubule (PCT) Loop of Henle Distal convoluted tubule (DCT) Nephron empties tubular fluid into a system of collecting ducts and papillary ducts 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 Renal Corpuscle Consists of: Glomerulus (Glomerular capillaries) – tuft of fenestrated capillaries Bowman’s capsule (Glomerular capsule) – Parietal layer – simple squamous epithelium Visceral layer – consists of podocytes Blood travels from efferent arteriole to peritubular capillaries Blood leaves the nephron via the efferent arteriole 4 Renal Corpuscle Renal Corpuscle Podocytes cover lamina densa of capillaries Project into the capsular space Pedicels of podocytes separated by filtration slits 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 Distal convoluted tubule (DCT) Actively secretes ions, toxins, drugs Reabsorbs sodium ions from tubular fluid 5 Collecting Tubules (Collecting ducts) Collecting tubules - Receive urine from distal convoluted tubules Uriniferous Tubule Epithelium 6 Types Of Capillary Beds In Nephron Glomerular capillaries – fed and drained by afferent and efferent arterioles Peritubular capillaries (juxtamedullary and cortical nephrons) Arise from efferent arterioles Low-pressure, porous capillaries Absorb solutes Vasa recta (juxtamedullary nephrons) Thin-walled looping vessels Part of the kidney’s urine-concentrating mechanism Overview of Nephron 7 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 JGA and Macula Densa Juxtaglomerular apparatus (JGA) 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 8 Summary of Nephron Function Concentration of urine controlled by filtrate modification Each segment of nephron and collecting system contributes Renal corpuscle PCT Loop of Henle Thin descending limb Thick ascending limb DCT Collecting ducts Urine Excretion Filtrate leaves Collecting System as urine Enters renal pelvis Rest of the urinary system transports, stores, and eliminates Ureters Bladder Urethra The Ureters Pair of muscular tubes Extend from renal pelvis to the bladder Peristaltic contractions force urine from the kidneys to the urinary bladder Oblique entry into bladder prevents backflow of urine 9 Histology of Ureter 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 pelvic cavity Urinary Bladder Wall of bladder: Mucosa – covered in transitional epithelium; folds form rugae Transitional epithelium - ranges from appearing cuboidal when bladder is empty to appearing squamous when bladder is full Rugae – large folds in the mucosa that allow the bladder to expand as needed Muscular layer – detrusor muscle (smooth muscle) Adventitia – connective tissue layer 10 The Urethra Extends from the urinary bladder to the exterior of the body Passes through urogenital diaphragm Differs in length and function in males and females Internal urethral sphincter – involuntary smooth muscle External urethral sphincter – voluntary skeletal muscle Urinary Bladder and Urethra – Male Males – average 22 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 11 Urinary Bladder and Urethra – Female Females – length of 3–4 cm The smooth triangular region of the base is called the trigone – many bladder infections persist in this region 12 Urethra Epithelium of urethra: Transitional epithelium at the proximal end (nearest the bladder in both sexes) Stratified and pseudostratified columnar – mid urethra (in males) Stratified squamous epithelium at the distal end (near the urethral opening in both sexes) Micturition (Urination) Micturition – the discharge of urine from the body Bladder can hold 250 – 400 mL Urination coordinated by micturition reflex Reflex initiated by stretch receptors in wall of bladder Detrusor muscle in bladder wall contracts Internal sphincter relaxes Urination also requires voluntary relaxation of external urethral sphincters 13