Anatomy of
Renal/Urinary System
Kidneys
2 kidneys
One on each side
of the vertebral
column at the
level of T12-L3
vertebrae
Lie
retroperitoneally
on the posterior
abdominal wall
Kidneys
Enclosed by the renal fascia
Surrounded by perinephric fat
Kidneys
Superiorly, the posterior aspect of the
kidneys are associated with the:
diaphragm, which separates them from the
pleural cavities and the 12th pair of ribs.
Kidneys
Extensions of the
cortex (renal
columns) project
toward the sinus,
dividing the
medulla into 6-10
renal pyramids.
Each pyramid is
conical with a
blunt point called
the papilla facing
the sinus.
The papilla is
nestled into a cup
called a minor calyx,
which collects its
urine. Two or three
minor calyces
merge to form a
major calyx. The
major calyces
merge to form the
renal pelvis.
The Nephron
Functional unit of the
kidney
Each kidney contains
~ 1 million nephrons
Glomerulus
Filters blood and
eventually all waste
carried away (filtered)
in the urine, and a small
blood vessel returns all
filtered substance back to
the body.
The Nephron
glomerulus
efferent arteriole
proximal
convolute
d tubule
A nephron consists of :
A.
distal
blood vessels
convolute
afferent arteriole d tubule
glomerulus
efferent arterioleafferent arteriole
B. renal tubules
proximal convoluted
tubule
loop of Henle
distal convoluted
tubule
Loop of Henle
Urinary Organs
Include:
Ureters: carry
urine from the
kidneys
Urinary bladder:
temporarily stores
urine
Urethra: conducts
urine from the
bladder to the
exterior
Ureters
Muscular ducts
Transport urine to the urinary
bladder
Normally constricted to a variable
degree in three places:
1.Ureteroplevic junction
2.Where cross external iliac
Ureters
Posteriorly
Surface marking of the ureter is lateral to L1
spinous process and posterior aspect of superior
iliac spine
Urinary Bladder
Hollow viscus with muscular walls
composed of detrusor muscle
When empty its location is in
the lesser pelvis and when filled
its located in the greater pelvis
Consists of:
Apex
Fundus
Body
Neck
Innervation
Parasympathetic and sympathetic
fibers
Urethra
Male
18-22 cm long
Function:
Conveys urine from internal
urethral orifice to external urethral
orifice
Exit for semen
Two parts:
Intermediate part
Spongy urethra
Innervation
Prostatic plexus (sympathetic and
parasympathetic fibers)
Female
4 cm long and 6 mm
diameter
Function:
Conveys urine from internal
urethral orifice to external
urethral orifice
Innervation:
Vesical nerve plexus and
pudendal nerve
Difference between
Female and Male Urethra
Suprarenal Glands
Also referred to as
adrenal glands
Yellowish appearance
Pyramid shaped
Sit above the kidneys
Surrounded by
connective tissue
containing perinephric
fat.
Suprarenal Glands
Enclosed by renal
fascia
Separated from the
kidneys by CT
Divisions: Cortex &
Medulla
Blood supply:
Suprarenal arteries &
veins
Nerves: celiac plexus
and abdominopelvic
Suprarenal veins
Large and serve as the venous drainage of
suprarenal glands
Right suprarenal vein and left suprarenal vein
Lymphatics of ureters
Drain into common, external,
internal iliac lymph nodes
Lymphatics of suprarenal
glands
Drains into the lumbar lymph
nodes
Questions