Structure and Function of Urinary System Aim Have a greater understanding of anatomy and physiology of urinary system Objectives Describe the basic structure and function of the bladder, urethra and pelvic floor Outline the differences between male and female anatomy and physiology of the urinary system Anatomy How much do you know? Have a go at labelling the diagrams Requirements for urinary control A bladder A sphincter mechanism A pelvic floor A nervous system Cognitive ability A locomotor ability Urinary System Brain sends messages to and from the bladder and bowel Kidneys produce urine Pelvic Floor muscles which support the bladder and bowel Urethra tube leading from the bladder to outside the body Spinal Cord carries the messages Ureters tubes leading from the kidneys to the bladder Bladder stores urine Bowel stores faeces Function of the bladder Dual purpose storage phase emptying phase Bladder capacity 500 mls 1st desire to void 250 mls How Much Will an Adult Bladder Hold? 100-150mls 150-200mls 350mls 200-450mls 450-600mls sensation of filling 1st desire to void 2nd desire to void toleration without undue discomfort experience discomfort A full bladder will hold 400 – 600 mls approx Normal Bladder Function Detrusor relaxed 1. Filling and Storage Stage Bladder neck closed Internal sphincter contracted 2. Voiding Phase Bladder neck opens External sphincter & pelvic floor relaxed Urine expelled 3. Termination of Voiding Any remaining urine is squeezed back into the bladder by the sphincter Bladder neck closed External sphincter & pelvic floor contract The Male Urethra 18cms in length S shaped passageway for: Urine Semen Prostatic secretions Smooth muscle contraction causes compression that maintains continence The Female Urethra Differs considerably from the male Straight 3-5 cms in length Passes through levator ani muscles of pelvic floor The Pelvic Floor Supports the pelvic organs Contraction causes urethral compression, helping to maintain continence Collectively called the ‘levator ani’ Striated muscle - slow and fast muscle fibres under voluntary control Any Questions?