SYSTEMA URINARIUS BERNARD SM HUTABARAT, dr,PAK FACULTY OF MEDICINE - UPH LIPPO VILLAGE - KARAWACI

GROUP OF ORGANS WHICH FUNCTIONS ARE TO PRODUCE AND EXCRETE URINE. CONSISTS OF : 1. ORGANA URINARIA FEMALE MALE 2.1. PELVIS RENALIS REN ( KIDNEY ) 2. TRACTUS URINARIUS 2.2. URETER 2.3. VESICA URINARIA 2.4. URETHRA 2.4.1. URETHRA MASCULINUS 2.4.2. URETHRA FEMININUS
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EMBRYOLOGIA SYSTEMA URINARIA

ORIGIN : MESODERM INTERMEDIATE SOMITE

MESODERM INTERMEDIATE ( CERVICAL REGION ) LOOSE CONNECTION WITH SOMITE SOMITE SEGMENTAL GROUP OF CELLS AORTA DORSALIS GLOMERULUS INTERNA TUBULUS ( DUCTUS ) PRONEPHRICUS NEPHROTOME LATERAL GLOMERULUS EXTERNUS
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CANALIZATION 3/28/2014 6:35 AM

DEVELOPMENT OF KIDNEY ( REN )

REN DEVELOPED FROM 3 OVERLAPPING ORGANS IN A CRANIAL TO CAUDAL SEQUENCES ARE :

1. PRONEPHROS(RUDIMENTARY/NON-FUNCTIONING)
AT THE BEGINNING OF 4TH WEEK, CERVICAL, 7 10 SOLID CELL FORMED NEPHROTOME,END OF 4TH WEEK DISSAPPEARED

2. MESONEPHROS ( SHORT TIME, FUNCTIONING DURING

EARLY FETAL PERIOD )
EARLY IN THE 4TH WEEK ,UPPER THORACIC UPPER LUMBAR ( L 3 ) , EXCRETORY DUCTS END IN LONGITUDINAL DUCTS NAMED DUCTUS MESONEPHROS WOLFFII ( DUCT OF WOLFFII )
END OF 2 MONTHS MOST CRANIAL PARTS DISSAPPEARED.

3. METANEPHROS ( PERMANENT KIDNEY )

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FUNCTION BY WEEK 13

DEVELOPMENT OF METANEPHROS
DUCT.MESONEPHRICUS ( ENDED AT CLOACA )
DIVERTICULUM URETERICUS ( URETERIC BUD ) MESODERM LUMBOSCRAL CAP

BLASTEMA METANEPHROGENICA
( METANEPHROGENIC BLASTEMA ) NEPHRON

METANEPHROS
DIVERTICULUM URETERICUS DIVIDES MANY TIMES:
CALYX MINOR CALYX MAJOR PELVIS RENALIS
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URETER

DEVELOPMENT OF BLADDER & URETHRA

CLOACA SEPTUM URORECTALE ( TOURNEUXS FOLD )

SINUS UROGENITALIS RECTUM

CRANIAL ( VESICAL ) PART V U ( BLADDER ) MIDDLE ( PELVIC ) PART: URETHRA CAUDAL ( PHALLIC ) PART
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CONGENITAL MALFORMATION OF SYSTEMA URINARIA

1. PELVIC KIDNEY ( REN PELVICUM ) AORTA ABDOMINALIS VCI REN SINISTRA

A. RENALIS DEXTRA A.ILIACA COMM.SIN. URETER REN PELVICUM 2. HORSHOE KIDNEY ( REN UNGUIS )
ON ASCENDING BOTH KIDNEYS ARE PUSHED SO CLOSE TOGETHER THAT THE LOWER POLES FUSED, AT THE LOWER L 5 DUE TO ROOT OF A. MESENTERICA INF. 3/28/2014 6:35 AM

CONGENITAL MALFORMATION OF BLADDER / URACHUS

UMBILICUS ALLANTOIS URACHUS

PERSISTENT URACHUS DISSAPPEAR

ABDOMINAL WALLL
VESICA URINARIA

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REN
LOCATION
2,5 CM T12

L3 2,5CM

7,5CM HILUS RENALIS ( 5 CM ; PLANUM TRANSPYLORICUM ; L1 ) 3/28/2014 6:35 AM

KIDNEY RELATIONSHIP WITH SURROUNDING

HIATUS OESOPHAGICUM ( T 10 ) HIATUS VCI ( T 8 ) DIAPHRAGMA V. CAVA INFERIOR GLD SUPRARENALIS HIATUS AORTICUS (T 12 ) M. QUADRATUS LUMBORUM AORTA ABDOMINALIS M. PSOAS MAJOR M. ILIACUS URETER

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CAPSULA RENALIS ( RENAL CAPSULES )

CAVUM PERITONEALIS HEPAR A/V RENALIS

2. CAPSULA ADIPOSA
FASCIA TOLDT ( PRERENALIS )

FASCIA RETRORENALIS ZCKERKANDLE 3. CAPSULA FIBROSA 1. FASCIA RENALIS GEROTA

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FIXATIO RENALIS ( FIXATION OF THE KIDNEY )

1. PRESSURE & COUNTER PRESSURE SURROUNDING ORGANS 2. CAPSULA RENALIS CAPSULA ADIPOSA MAINTAIN TENSION BETWEEN CAPSULA FIBROSA AND FASCIA RENALIS DECREASING PERIRENAL FATTY TISSUE

WEAKNESS OF FIBROUS TISSUE + WEAKNESS OF ABDOMINAL MUSCLES

NEPHROPTOSIS

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PARTS OF REN
POLUS SUPERIOR MARGO LATERALIS LINEA BRDEL MARGO MEDIALIS HILUS RENALIS

FACIES POSTERIOR

POLUS INFERIOR FACIES ANTERIOR URETER ( TOGETHER WITH A/V RENALIS )

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STRUCTURE OF KIDNEY
1. CORTEX RENALIS JUNCTURA CORTICO MEDULLARIS 2. MEDULLA RENALIS PYRAMIDES RENALES MALPHIGI ( 12-20 ) PROCESSUS FERREINI COLUMNA RENALIS BERTINI PAPILLLA RENALIS CALYX MINOR ( 8 12 ) PELVIS RENALIS JUNCTURA PELVEO CALYCES CALYX MAJOR (23) URETER 3/28/2014 6:35 AM

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VASCULARISATIO
AORTA ABDOMINALIS V. CAVA INFERIOR

A.RENALIS

V. RENALIS

A.SEGMENTALIS

V. INTERLOBARIS

A.INTERLOBARIS A.ARCUATA A.INTERLOBULARIS

ARTERIOLAE AFFERENTES 3/28/2014 6:35 AM

V. ARCUATA
V.INTERLOBULARIS

V.STELLATAE VERHEYENNI

GLOMERULUS

ARTERIOLAE EFFERENTES 14

URETER
CONTINUATION OF PELVIS RENALIS TO VESICA URINARIA
FORM & SIZE : 25 34 CM ; BEGIN AT PROC. SPINOSUS VERTEB. L 1 ; :1 MM 1 CM. URETER DEXTRA SHORTER. URETER PARTS 1. PARS ABDOMINALIS URETERIS: MEDIAL SIDE M. PSOAS MAJOR. ------ FLEXURA MARGINALIS --------2. PARS PELVINA URETERIS NARROWING 1. JUNCTURA URETERO PELVICUM 2. FLEXURA MARGINALIS 3. ORIFICIUM URETERIS.

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VESICA URINARIA ( BLADDER )

A MUSCULO MEMBRANOUS SAC THAT FUNCTION AS RESERVOIR URINE. EMPTY : INTRAPELVINUM. FULL : EXTEND CRANIOVENTRALLY INTO CAVUM ABDOMINALIS
SPP ( SUPRA PUBIC PUNCTURE ). CAPACITY : 500 CC ; 200 300 CC MICTIO

FORM, SIZE & POTITION DEPEND ON ITS CONTENT. . PARTS: 1. VERTEX VESICAE : THE TOP : APEX VESICAE: LIG. VESICO UMBILICALE MEDIALE (URACHUS) 2. CORPUS VESICAE 3. FUNDUS VESICAE : CAUDODORSALLY TOWARD RECTUM.

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INNER PARTS OF VESICA URINARIA

URETER

RUGAE VESICAE

PLICA INTER URETERICA

ORIFICIUM URETERIS SINISTRA TRIGONUM VESICAE LIEUTAUDI PLICAE URETHRO-URETERICA SINISTRA

ORIFIC. URETERIS DEXTRA ORIFICIUM URETHRA INTERNA

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URETHRA VIRILIA
1. PARS PROSTATICA URETHRAE 3 CM, WIDEST , MOST DILATABLE NEARLY VERTICAL WITH GLD. PROSTATAE. 2. PARS MEMBRANACEA URETHRAE THE SHORTEST, SMALLEST POSSIBILITY FOR DILATATION, FROM APEX PROSTATAE TO BULBUS PENIS. 3. PARS SPONGIOSA URETHRAE LENGTH 15CM, LOCATED IN CORPUS CAVERNOSUM URETHRAE LENGTH : 17,5 20 CM ; ORIFICIUM URETHRA INTERNA - ORIFICIUM URETHRA EXTERNA. LAID S FORMED; CONSISTS OF 3 PARTS :

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PARS PROSTATICA URETHRAE

GLANDULA PROSTATICA CRISTA URETHRALIS SINUS PROSTATICUS ORIFICIUM DUCTUS EJACULATORII ( VAS DEFERENS & DUCT.GLD.VESIC.) COLLICULUS SEMINALIS ( VERUMONTANUM ) UTRICULUS PROSTATICUS ( SINUS POCULARIS )
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SOURCES
1. Basmajian, J.V : Grants Method of Anatomy The Williams & Wilkins Company ; Calcutta 2. Gray, Henry & Goss, Charles Mayo : Anatomy of the Human Body; Lea & Fulbiger;Philadelphia 3. Hamilton, W.J : Textbook of Human Anatomy; The Mosby Company; St Louis Missoury. 4. Mader, Sylvia S : Understanding Human anatomy & physiology ; Mc Graw Hill Higher Education 5. Rogers , A.W : Textbook of Anatomy; Churchill Livingstone ; Hongkong 6. www.abc.net.au 7. www.endocrineweb.net 8. www.gutefrage.net 9. khalidalomari.weebly.com 10. www.larousse.fr
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