The Urinary System MEDICAL TERMINOLOGY Dr ATEF MASAD 3/22/2016 Dr ATEF MASAD 1 Functions The urinary system consists of 2 kidneys, 2 ureters, a urinary bladder, and the urethra. The urethra has distinct functions depending on the sex (gender) of the individual. The female urethra has ONLY a urinary function. 3/22/2016 Dr ATEF MASAD 2 The male urethra has both urinary and reproductive functions. In both sexes, the main function of the urinary system is the eliminate waste products from the body. 3/22/2016 Dr ATEF MASAD 3 The Functions Maintain HOMEOSTASIS, or a constant internal environment. Maintain constant concentrations of salt, water, and acids. 3/22/2016 Dr ATEF MASAD 4 Anatomy of the Urinary System Blood enters the kidneys through the RENAL ARTERIES and leaves the kidneys through the RENAL VEINS. Blood is filtered in the GLOMERULUS. The glomerulus is part of the functional unit of the kidney called the NEPHRON. The nephrons are contained within the RENAL CORTEX and RENAL MEDULLA. 3/22/2016 Dr ATEF MASAD 5 Urine is collected in the CALICES (singular – CALYX). From the calices (located within the RENAL PELVIS) the urine enters the URETERS. The ureters connect the kidneys to the bladder. 3/22/2016 Dr ATEF MASAD 6 Within the bladder, urine is stored until there is enough pressure to cause it to enter the urethra. The urethra carries urine from the bladder to the outside world. The male urethra has three parts: 1. penile urethra – within the penis 2. membranous urethra – within the urogenital diaphragm 3. prostatic urethra – within the prostate gland 3/22/2016 Dr ATEF MASAD 7 The female urethra is very short and is located superior to the vagina. 3/22/2016 Dr ATEF MASAD 8 Urinary Combining Forms Combining Form Meaning Example Cyst / o bladder Cyst / o / scope Instrument to view the bladder Ureter / o ureter Ureter / o / lith A stone or calculus in the ureter Glomerul / o glomerulus Glomerul / o/ pathy Disease of the glomerulus Nephr / o kidney Nephr / itis Inflammation of the kidney Ren / o kidney Ren / al Pertaining to the kidney 3/22/2016 Dr ATEF MASAD 9 Pyel / o Renal pelvis Urethr / o urethra Urethr /o/ dynia Ur / o urine Ur / emia Urin / o urine Urin / ary 3/22/2016 Pyel / lith /o/ tomy An incision in the renal pelvis to remove a stone Dr ATEF MASAD Pain in the urethra Blood in the urine Pertaining to the urine 10 Some Suffixes -osis -pathy -pexy -ptosis 3/22/2016 abnormal condition disease fixation falling Dr ATEF MASAD 11 Abnormal condition Enlargement Hardening 3/22/2016 -osis - megaly - scler Dr ATEF MASAD 12 What does each word mean? Nephromegaly Enlargement of the kidney Nephrectomy Removal of the kidney 3/22/2016 Dr ATEF MASAD 13 The suffix –iasis is used to describe something abnormal. An abnormal condition of kidney stones is Nephr / o / lith / iasis kidney 3/22/2016 stone Dr ATEF MASAD Abnormal condition 14 Combine nephr / o and -ptosis Nephroptosis Which means a dropping or prolapse of a kidney. 3/22/2016 Dr ATEF MASAD 15 The Ureters, Bladder, and Urethra Urine is conveyed from each kidney through one of two ureters and stored in the bladder until it is removed from the body through the urethra. 3/22/2016 Dr ATEF MASAD 16 The suffix -ectasis means dilation or enlargement. Therefore, an enlargement of the ureter is called ureter / ectasis. A stone in the ureter is a ureterolith 3/22/2016 Dr ATEF MASAD 17 You would use a procedure called a ureter / o / lith /o / tomy A surgical procedure ureter stone to remove a ureterolith. 3/22/2016 Dr ATEF MASAD 18 Stones are formed in the urinary tract by the deposit of crystalline substances excreted in the urine. Stones can be surgically removed or crushed so the pieces are voided in the urine. The suffix -tripsy means crushing. 3/22/2016 Dr ATEF MASAD 19 The urinary bladder is a muscular sac that stores urine until it is removed. The combining forms cyst / o and vesic / o are used to refer to the bladder. 3/22/2016 Dr ATEF MASAD 20 Ureterolith -> stone in the ureter. Ureterocystoscope -> an instrument to view the ureter and bladder. Ureterocystoscopy -> visual examination of the ureter and bladder. 3/22/2016 Dr ATEF MASAD 21 The urethra differs in men and women. In men, it serves a dual function of conveying sperm and urine. In females, it only conveys urine. The combining form for urethra is urethr / o 3/22/2016 Dr ATEF MASAD 22 Cancers Malignant tumors are cancerous. Benign tumors are non-cancerous. Malignant tumors spread rapidly. 3/22/2016 Dr ATEF MASAD 23 The combining form adeno / o Is used to denote a gland. Therefore, adeno / o / dynia is a word that denotes pain in a gland. 3/22/2016 Dr ATEF MASAD 24 The combining form carcin / o means cancer. Therefore, aden / o / carcin / oma refers to a cancerous glandular tumor. 3/22/2016 Dr ATEF MASAD 25 A “UTI” refers to URINARY TRACT INFECTION. UTI’s account for the majority of office visits resulting from urinary symptoms. 3/22/2016 Dr ATEF MASAD 26 The Nephron Each kidney contains about 1 million NEPHRONS. These structures are the filtering mechanisms of the kidney. The nephron is responsible for keeping fluid levels balanced. Urine flows from the nephron into the funnelshaped CALYX. From the calyx, urine passes into the RENAL PELVIS to the ureter. 3/22/2016 Dr ATEF MASAD 27 The combining form pyel / o refers to the renal pelvis. 3/22/2016 Dr ATEF MASAD 28 Parts of the Nephron Glomerulus Collecting tube Bowman’s Capsule The combining form glomerul / o refers to the glomerulus. 3/22/2016 Dr ATEF MASAD 29 Combining Forms for Color Erythr / o -> red Leuk / o -> white 3/22/2016 Dr ATEF MASAD 30 Combining Form for Infection PUS is a collection of dead blood and inflammatory cells. The combining form that means pus is py / o 3/22/2016 Dr ATEF MASAD 31 The suffix -uria refers to urination. Hemat / uria -> blood in urine py / uria pus in the urine 3/22/2016 -> Dr ATEF MASAD 32 The combining form olig / o refers to scanty or little. Therefore, olig / uria means little or scanty urination. 3/22/2016 Dr ATEF MASAD 33 Miscellaneous The combining form for night is noct / o The suffix -phobia means fear. The prefix in- refers to “not”. 3/22/2016 Dr ATEF MASAD 34 Other Urinary Disorders AZOTURIA - an increase in nitrogen in the urine. DIURESIS – abnormally large amount of urine. ENURESIS – involuntary discharge of urine after the age which bladder control should have been established. HYPOSPADIAS – abnormally place urethral opening on the underside of the penis. 3/22/2016 Dr ATEF MASAD 35 PHIMOSIS – stenosis (narrowing) of the foreskin opening of the penis. UREMIA – elevate level of waste products (UREA) in the blood. 3/22/2016 Dr ATEF MASAD 36