Urinary System Notes The Urinary System Produces and secretes urine Maintains normal blood composition Uremia (uremic poisoning) – accumulation of toxic levels of wastes in the blood Kidneys • Internal structure Cortex—outer layer of “skin” Medulla—inner portion Pyramids—triangular divisions of medulla Papilla—narrow, innermost end of pyramid Pelvis—upper end of ureter inside kidney Calyces—divisions of renal pelvis • Nephrons - microscopic units of kidneys: Renal corpuscle—Bowman’s capsule with its glomerulus • Bowman’s capsule—the cup-shaped top • Glomerulus—network of blood capillaries surrounded by Bowman’s capsule Renal tubule • Proximal convoluted tubule—extension of ascending limb of loop of Henle • Collecting tubule—extension of distal tubule • Functions Excretes toxins and nitrogenous wastes Regulates levels of chemicals in blood Maintains water balance Helps regulate blood pressure via secretion of renin Formation of Urine • Three processes that take place in successive parts of nephron Filtration— continually in renal corpuscles glomerular blood pressure causes water and dissolved substances to filter out of glomeruli into Bowman’s capsule Reabsorption—substances move from renal tubules into peritubular capillaries water, nutrients, & ions osmose from proximal tubules Sodium and some ions are actively transported back into urine Secretion— substances move into urine in distal and collecting tubules from peritubular capillaries hydrogen ions, potassium ions, & certain drugs secreted by active transport ammonia secreted by diffusion • Posterior pituitary hormone, ADH, decreases urine Glycosuria – glucose in urine • high concentrations of glucose cannot be reabsorbed by the kidney tubule cells Ureters • Narrow long tubes with renal pelvis in kidney & lined with mucous membrane • Drain urine from renal pelvis to urinary bladder Urinary Bladder • Structure Elastic muscular organ, capable of great expansion Lined with rugae of mucous membrane • Functions Storage of urine before voiding Voiding Urethra • Structure Narrow tube from urinary bladder to exterior Lined with mucous membrane Urinary meatus - opening of urethra to the exterior • Functions urine from bladder to exterior of body semen from the body Micturition • Urination or voiding - Passage of urine from body • Regulatory sphincters Internal urethral sphincter (involuntary) External urethral sphincter (voluntary) • Bladder - storage of urine with little increase in pressure • Emptying reflex Initiated by stretch reflex in bladder wall Bladder wall contracts Internal sphincter relaxes External sphincter relaxes and urination occurs • Urinary retention—urine not voided • Urinary suppression—no urine produced • Incontinence—urine voided involuntarily May be caused by spinal injury or stroke Retention of urine may cause cystitis • Cystitis—bladder infection Overactive bladder— frequent urination Called interstitial cystitis Amounts voided are small Extreme urgency and pain are common