Sistem Urinarius, Pelvis & Perineum: DR - Tri Suciati, M.Kes

Sistem Urinarius,
Pelvis & Perineum

Dr.Tri Suciati, M.Kes
MATERI
Cavum pelvis & diaphragma pelvis
Fossa Ischiorectalis & isinya
Innervasi dan & Vaskularisasi dinding
pelvis
Sistem urinarius
Rectum
Pelvis - TOPOGRAFI
Komponen tulang Pelvis

Innominate bone (Ilium, ischium and
pubis)
Sacrum
Coccyx
Joined anteriorly by pubic symphysis
Posteriorly by sacro-iliac joint
Komponen Sendi
Articulatio:
Diarthrosis yaitu amphiarthrosis sacroiliaca
Synarthrosis:
1.Syndesmosis elastica sacrococcygeus
2.Syndesmosis fibrosa: lig sacrospinosum et
tuberosum
3.Synchondrosis: symphysis ossium pubis
Apertura Pelvis Superior
Klasifikasi Caldwell dan

Molloy
Pelvimetry
Pelvic planes
Diameters of inferior aperture of lesser pelvis (female).
Pelvic inlet: The line between the narrowest bony points
formed by thesacral promontoryand the innerpubic archis
termedobstetrical conjugate: It should be 11.5cm or more.
This anteroposterior line at the inlet is 2cm less than
thediagonal conjugate(distance from undersurface of
pubic archto sacral promontory). The transverse diameter of
the pelvic inlet measures 13.5cm.
Midpelvis: The line between the narrowest bone points
connects theischial spines; it typically exceeds 12cm.
Pelvic outlet: The distance between theischial tuberosities
(normally > 10cm), and the angulation of the pubic arch
Fetal relationship
Engagement: The fetus is engaged if the
widest leading part (typically the widest
circumference of the head) is negotiating the
inlet.
Station: Relationship of the bony presenting
part of the fetus to the maternal ischial spines.
If at the level of the spines it is at 0 (zero)
station, if it passed it by 2cm it is at +2
station.
Attitude: Relationship of fetal head to spine:
flexed, neutral (military), or extended
attitudes are possible.
Position: Relationship of presenting part to maternal

pelvis, i.e. ROP=right occiput posterior, or LOA=left
occiput anterior.
Presentation: Relationship between the leading fetal
part and the pelvic inlet: cephalic, breech (complete,
incomplete, frank or footling), face, brow, mentum or
shoulder presentation.
Lie: Relationship between the longitudinal axis of fetus
and long axis of the uterus: longitudinal, oblique, and
transverse.
Caputor Caput succedaneum: oedema typically formed
by the tissue overlying the fetal skull during the vaginal
birthing process.
Greater Pelvis (pelvis major)/

False Pelvis
Tempat beberapa visera abdomen
(ileum and sigmoid colon)
Bounded by abdominal wall
anteriorly, the iliac fossa
posteriolaterally and L5 S1 vertebrae
posteriorly
Lesser Pelvis ( pelvis minor)/True

Pelvis
Tempat viscera pelvis urinary
bladder and reproductive organs
such as the uterus and ovaries
dikelilingi permukaan pelvis,al:
tulang panggul, sacrum, and coccyx
Sebelah inferior dibatasi oleh
musculofascial pelvic diaphragm
Pelvic Walls and Floors

Anterior pelvic wall terbentuk
terutama oleh corpus dan ramus
pubic bones and pubic symphysis
Lateral pelvic walls dibentuk oleh
tulang panggul dan m. obturator
internus (O: proximal surface of the
ilium and ischium; obturator
membrane I: greater trochanter of the
femur)
Pelvic Walls and Floor

Posterior Pelvic Wall dibentuk oleh
sacrum and coccyx, bagian terdekat
the ilia, and the S-I joints; ditutupi
oleh m.piriformis (O: pelvic surface of
2nd and 4th sacral segments, superior
margin of the greater sciatic notch
and sacrotuberous ligament, I:
greator trochanter of femur)
Pelvic Floor
Dibentuk oleh diaphragma pelvis
yang berbentuk seperti terowongan
tdd otot levator ani & coccygeus
serta fasianya
Membentang sebelah anterior pubis
dan coccyx sebelah posteror, dan
dari satu dinding pelvis lateral ke
dinding lainnya
Diaphragma Pelvis
Terdiri dari
Pars Muscularis
terdiri dari m. Levator ani
Pars membranacea
Terdapat di sebelah caudal pars
muscularis menutupi segitiga depan,
disebut juga diaphragma urogenital
Levator Ani
Tdd 3 bagian pubococcygeus, puborectalis dan
iliococcygeus.
Secara berkelompok berjalan dari corpus os pubis,
dg arcus tendinosa pada fascia obturatorius dan
spina ischial KE perineal body, os coccygeus,
ligament anococcygeal, dinding prostate atau
vagina, rectum & anal canal
Innervasi dari S4 untuk levator ani, dan inferior
anal (rectal) dari (S2-S4) , dan coccygeal plexus
Mensupport visera pelvis; bekerja bersama,
mengangkat dasar pelvis dan membantu otot
abdomen pada kegiatan dengan expirasi yang kuat
Beberapa serabut otot pre rectalis

yang berhubungan dengan prostat
pada pria = m. Levator prostat, dan
dengan vagina= m.pubovaginalis.
Serabut tersebut membagi hiatus
levatorius menjadi
1.Hiatus genitalis
2.Hiatus analis
Coccygeus Muscle
O: ischial spine, I: inferior end of the
sacrum, I: cabang dari S4 and S5
Membentuk bagian kecil dari
diafragma pelvis, mensupport visera
pelvis, fleksi coccygeus
Diaphragma urogenitalis
Penguatan dari m.levator ani, dan
menutup hiatus urogenitalis dari
arah bawah, ditembus oleh:
Pars membranacea urethra pada lakilaki
Urethra dan vagina pada wanita
Diaphragma urogenitalis
Tdd 2 lembar fascia:
Fascia diaphragmatis urogenitalis superior et
inferior
Di antara kedua fascia terdapat m. Transversus
perinei profundus (sebelah belakang) dan m.
Sphincter urethre membranaceae.
Sebelah ventral---lig transversum pelvis, dan
lig. Arcuatum pubis
Di permukaan, terdapat m.transversus perinei
superfisialis
Viscera
Organ sistem urinarius pelvis
Ureters
Saluran otot polos dari ginjal ke VU , p= 25
-30 cm
Bladder/VU
a hollow container surrounded by a strong
smooth muscular wall
Bagiannya: Apex, Body, Fundus, Neck,
Uvula
Ureters
Bladder
Pelvic Viscera - Female
Viscera
Bladder/VU
Detrussor muscle otot polos yang
mengelilingi VU
Otot sfingter interna
I Parasympathetic to detrussor (S2S4)); Sympathetic to internal
sphincter (T12-L1/L2)
Viscera
Ureter
Urinary urethral orifice in bladder to
external urethral orifice
External sphincter somatic nerves
from S2-S4)
Prostate
Male Urethra
Rectum
Alimentary canal (GI Tract)
menghubungkan colon sigmoideus
dengan anus
Mengikuti curva sacrum dan coccyx
I=sympathetic (T12/L1)and
parasympathetic nerves (S2-S4)
Perineum / Regio perineal

Berada pada outlet pelvis dan dipisahkan
dari cavitas pelvis oleh diafragma
pelvis(Levator ani and coccygeus muscles)
Batas-batas:
Anterior : symphysis pubis
Anterolateral: inferior pubic rami and
ischial rami
Lateral: ischial tuberosity
posterolateral: sacrotuberous ligament
inferior sacrum and coccyx
Perineum
2 Trigonum
Trigonum Analis (posterior)
Trigonum Urogenital (anterior) contains the
root of the scrotum and penis in males or the
external genitalia in females
Membran perineal membentang antara

dua sisi arkus pubis dan meliputi bagian
anterior outlet
perineal body/corpus perineal : massa
fibromuscular irregular berlokasi antara
anal canal dan perineal membrane
Triangles
Fascia Perinealis
Superfisialis
Lanjutan fascia abdominalis
superfisialis,ada 2 lapis
Lapis permukaaan
Fascia camperi, ke medial bersatu dg
lapis dalam mbntk tunica dartos pd
scrotum, dan jar lemak pada vagina
Pd regio analis brhub dg fossa
ischiorectalis
Lapis dalam
Lanjutan fascia scarpae
Di namakan fascia collesi
Lateral berhub dg ramus inferior os
pubis dan os ischii, ke depan
berlanjut sbg lig. Suspensorium penis
Ke belakang membentuk spatium
interfasciale
Spatium interfasciale
Terdapat
Crura cavernosis penis dengan
mm.ischiocavernosi
Corpus cavernosum urethrae dengan
m. Bulbocavernosus
A,v, n, perinealis
Fossa ischiorectalis
Rongga yang terdapat di kiri dan kanan
rectum, di bawah m. Levator ani
Batas-batasnya:
Cranial: arcus tendineus m.levator ani
Lateral: fascia obturatoria
Medial: fascia diaphragmatis pelvis inferior
Dorsalis: m.gluteus maximus &
lig.sacrotuberosum
Caudalis: depan oleh diaphragma urogenital
Perineal Body and

membrane
Muscles Female and male
External/Internal Anal
Sphincter
Deep Transverse Perineal - F
Peritoneum
lanjutan peritoneum abdomen
Drapes over pelvic viscera in the
midline to form:
- Pouches/kantong
- Lipatan antara viscera dan dinding
pelvic
- Pouches melindungi viscera dari
rectum
The lymphatic drainage of

pelvis
Internal iliac lymph node
Surround internal iliac vessels
Receive afferents from pelvic
viscera, perineum, buttock and
back of thigh
External iliac lymph nodes

Lie along external iliac artery
Receive afferents from lower limb
and some parts of pelvic viscera
Sacral lymph node

Common iliac lymph node
Lie along common iliac artery
Receive afferents from all the
above nodes
Efferents pass to lumbar lymph
node
Sacral plexus
Formation: formed
by anterior rami of
L4 and L5 spinal
nerves (the
lumbrosacral trunk)
and anterior rami of
sacral and
coccygeal nerves
Position: lies in pelvic
cavity, anterior to
sacrum and
piriformis
Branches
Superior gluteal
Inferior gluteal
Pudendal
Posterior femoral
cutaneou
Sciatic Common
The Urinary System

PART 1
The Urinary System

Important functions of the kidneys
Maintain the chemical consistency of blood
Filter many liters of fluid from blood
Send toxins, metabolic wastes, and excess
water out of the body
Main waste products
Urea
Uric acid
Creatinine
Copyright 2008 Pearson

Education, Inc., publishing
Organs of the Urinary

System
Kidneys
Ureters
Urinary bladder
Urethra

Figure 23.1a
Location and External Anatomy

of Kidneys
Located retroperitoneally
Lateral to T12L3 vertebrae
Average kidney
12 cm tall, 6 cm wide, 3 cm thick
Hilus
On concave surface
Vessels and nerves enter and exit
Renal capsule surrounds the kidney

Relationship of the Kidneys to

Vertebra and Ribs

Figure 23.1b
Internal Gross Anatomy of the

Kidneys
Frontal section through the kidney
Renal cortex
Renal pyramids
Renal pelvis
Major calicies
Minor calicies
Gross vasculature
Renal arteries
Branch into segmental arteries
Summary of Blood Vessels

Supplying the Kidney

Figure 23.3c
Internal Gross Anatomy of the

Kidneys
Nerve supply renal plexus
A network of autonomic fibers
An offshoot of the celiac plexus

Microscopic Anatomy of the

Kidneys
Uriniferous tubules
Composed of
Nephron
Renal corpuscle plus renal tubules
Collecting duct
Involved in concentrating urine
PLAY
Nephron

Mechanisms of Urine
Production
Filtration
Filtrate of blood leaves kidney capillaries
Reabsorption
Most nutrients, water, and essential ions
reclaimed
Secretion
Active process of removing undesirable
molecules
Basic Kidney Functions

Figure 23.4
The Urinary System

PART 2
The Nephron
Renal corpuscle
Glomerulus and glomerular capsule
Glomerulus tuft of capillaries
Capillaries of glomerulus are
fenestrated
Glomerular (Bowmans) capsule
Parietal layer simple squamous
epithelium
Visceral layer consists of podocytes

Renal Corpuscle and the

Filtration Membrane

Figure 23.6c
Tubular Section of Nephron

Filtrate proceeds to renal tubules
from glomerulus
Proximal convoluted tubule
Loop of Henle
Descending limb
Thin segment
Thick segment
Distal convoluted tubule

Classes of Nephron
Cortical nephrons
85% of nephrons
Juxtamedullary nephrons
15% of nephrons

Collecting Tubules (Collecting

ducts)
Collecting tubules
Receive urine from distal convoluted
tubules

Figure 23.8
Microscopic Blood Vessels

Nephrons associated with two types
of capillary beds (a portal system)
Glomerulus
Fed and drained by arterioles
Afferent and efferent arterioles
Peritubular capillaries
Arise from efferent arterioles
Low-pressure, porous capillaries
Absorb solutes
Microscopic Blood Vessels

Vasa recta
Thin-walled looping vessels
Part of the kidneys urine-concentrating
mechanism

The Urinary System

PART 3
Microscopic Anatomy of the

Kidney
Juxtaglomerular apparatus
Functions in the regulation of blood
pressure
Juxtaglomerular cells secrete renin
Macula densa
A portion of distal convoluted tubule
Tall, closely packed epithelial cells
Act as chemoreceptors

Ureters
Carry urine from the kidneys to the
urinary bladder
Oblique entry into bladder prevents
backflow of urine
Histology of ureter
Mucosa transitional epithelium
Muscularis two layers
Inner longitudinal layer
Outer circular layer
Adventitia typical connective tissue

Urinary Bladder
A collapsible
muscular sac
Stores and expels
urine
Full bladder spherical
Expands into the
abdominal cavity
Empty bladder lies

entirely within the
pelvis

Figure 23.13
Urinary Bladder
Urachus closed
remnant of the
allantois
Prostate gland
In males
Lies directly
inferior to the
bladder
Surrounds the
urethra

Figure 23.14
Urinary Bladder
Wall of bladder
Mucosa
Transitional epithelium
Muscular layer
Detrus or muscle
Adventitia

Urethra
Epithelium of urethra
Transitional epithelium
At the proximal end (near the bladder)
Stratified and pseudostratified

columnar mid urethra (in males)
Stratified squamous epithelium
At the distal end (near the urethral opening)

Urethra
Internal urethral sphincter
Involuntary smooth muscle
External urethral sphincter

Voluntarily inhibits urination
Relaxes when one urinates

Urethra
In females
Length of 34 cm
In males 20 cm in length three

named regions
Prostatic urethra
Passes through the prostate gland
Membranous urethra
Through the urogenital diaphragm
Spongy (penile) urethra

Passes through the length of the penis
Micturition

Figure 23.17
Disorders of the Urinary

System
Urinary tract infections
More common in females
Burning sensation during micturition
Renal calculi
Kidney stones
Bladder cancer
3% of cancers more common in men
Kidney cancer
Arises from epithelial cells of uriniferous
tubules
The Urinary System

Throughout Life
Embryo develops three pairs of
kidneys
Pronephros
Mesonephros
Metanephros
Only metanephros persists to become the
adult kidneys
Metanephric kidney produces urine by fetal
month three
Contributes to the volume of amniotic fluid
Development of the Urinary

Organs

Figure 23.18a,b
Development of the Urinary

Organs

Figure 23.18c, d
The Urinary System

Throughout Life
Kidney and bladder function declines
with advancing age
Nephrons decrease in size and number
Tubules less efficient at secretion and
reabsorption
Filtration declines
Recognition of desire to urinate is
delayed
Loss of muscle tone in the bladder
Sistem urinarius
Fungsi: Mengatur homeostasis dengan;
Mengubah komposisi, pH, volume, dan
tekanan darah
Osmolaritas darah
Produksi hormon
Organ;
2 ginjal
2 ureter
1 vesica urinaria
1 uretra
Ginjal
Fungsi utama ginjal:
1. Membentuk dan
mengeluarkan urine
2. Menghasilkan dan
mengeluarkan
erythropoietin yaitu
hormon yang
mengendalikan
kecepatan
pembentukan sel darah
merah
3. Menghasilkan dan
mengeluarkan renin
yaitu enzym penting
dalam mengatur
tekanan darah
Berbentuk seperti
kacang buncis,
Ukuran; p=10-12 cm
l=5-7 cm,tebal=3
cm,berat= 150 g
Ginjal, massa cuma
0,5 % massa tubuh,
tapi mendapatkan 2025 % cardiac output
Darah yg mengalir di
ginjal 1200 mL/ menit
Deskripsi potongan
melintang Ginjal
Cortex renalis;
bagian superfisial,
wrn terang, dibagi
menjadi 2 zona;
Zona cortical dan
juxtamedullary.
Bagian cortex
renalis yg melebar
ke pyramid renalis
adalah collumna
renalis
Satu lobus renalis,
tdd; 1 piramid
renalis, yg meliputi
1 renal cortex, dan
1,5 columna renalis
yg berdekatan
Medulla renalis; lebih

dalam, warna merah
gelap
Tdd, pyramid renalis;
bagian, yg dasarnya
mengarah ke cortex
ren, dan puncaknya
membentuk papilla
renalis
Cortex
+pyramid membentuk
parenkim renalis, yg
didalamnya terdapat
nefron, merupakan
unit fungsional ginjal
Vaskularisasi dan limfatik renalis

Arteri renalis, cabang
lateral aorta abdominalis
A.renalis kiri lebih tinggi,
a.renalis kanan lebih
panjang, dan melewati v.
c.inferior
Drainase limfatik oleh
nodus lumbaris
Vena renalis ka dan ki
dibentuk multipel vena
renalis, sebelah anterior
dari arteri renalis
Vaskularisasi Renalis
Arteri utama; a.
renalis kiri
Masuk ke ginjal mjd
a. segmentalis
Melewati collumna
renalis, menjadi a.
interlobaris
Melewati basal
pyramid menjadi
a.interlobular,
membentuk
percabangan, a.
arcuata
Memasuki cortex,
dikenal arteriole
afferent
Vaskularisasi Renalis
1 nefron menerima 1
arteriole afferent, masuk
ke glomerulus, lalu keluar
sbg,arteriole efferent,yg
lalu menjadi kapiler
peritubuler pd cortex
renalis
Pelebarannya di kenal
sebagai; vasa recta
Kapiler peritubuler saling
bersatu mbt venule
peritubuler dan v.
interlobular, berlanjut ke v.
arcuata dan v interlobar,
keluar dari hilum dan
berlanjut ke v. cava
inferior
Fisiologi ren
Nephron
CORPUSCULUM RENALIS
GLOMERULUS
CAPSULA BOWMAN
NEPHRON
TUBULUS RENALIS
TUBULUS CONTORTUS PROX

LOOP OF HENLE
TUBULUS CONVULATED DIST
Corpusculum renalis
Merupakan unit filtrasi

plasma darah dari nephron
2 kutub : polus vascularis,
polus urinalis
Mengandung glomerulus
sistim kapiler yg
dirangkai o/ arteriole
afferen dan efferen
Diliputi oleh lamina
visceralis capsula
Bowmani, sel disebut
Podosit`
Podosit mempunyai badan
sel ,dimana akan timbul
processus primer,
secunder (pedicle)
Urine yang dibentuk

diginjal dialirkan ke papilla
lalu ke apex pyramis
masuk ke calyx
minor calyx major dan
terakhir terkumpul di
pelvis renalis sebelum
memasuki ureter.
Dinding calyx dan pelvis
renalis mengandung otot
polos dengan gerakan
peristaltisnyamengalirkan
urine ke ureter lalu ke VU.
Sinus renalis; bagian dari

hilum renalis yg melebar tdd;
pelvis renalis, calyx, pemb
darah dan syaraf, jar lemak.
1 ginjal tdd= 8-18 calyx
minor,2-3 calyx mayor
Komposisi Urine:
Air 96%
Urea 2%
Asam urat, creatinin,
ammonia, Natrium, Kalium,
klorida, fosfat, sulfat-dan
oxalat 2
Ureter
Transport urin dr pelvis
renalis ke v. urinaria
Dipengaruhi o/ kontraksi
peristaltik, tekanan
hidrostatik, &gravitasi
3 penyempitan;
ureteropelvic junction,
a.iliaca communis,
dinding v.u
Inervasi;renal, aortic,
hipogastric superior &
inferior
Nyeri; illiac crest, regio
pubis, scrotum, labia
mayora
Ureter
Panjangnya 25-30 cm dan diameter 3

mm.
Merupakan kelanjutan dari pelvis
renalis, berjalan ke bawah melalui
cavum abdomen di belakang
peritoneum di depan m.psoas kemudian
oblique (miring) berjalan ke dinding
posterior VU
Fungsi ureter:
menyalurkan urine dari ginjal ke VU
dengan kontraksi peristaltik lapisan otot
polosnya.
Kontraksinya dipicu oleh pencetus yang
ada di calyx minor.
Gelombang peristaltik berlangsung
beberapa kali per menit, frekuensinya
akan meningkat jika produksi urine
meningkat dan masuknya urine ke VU.
Ureter memiliki 3 lapisan

jaringan:
lapisan terluar berupa
jaringan fibrosa kelanjutan
capsula fibrosa ginjal.
Lapisan tengah berupa
lapisan otot yang melingkari
ureter seperti spiral dan
pada sepertiga bawah ada
tambahan otot yang
berjalan longitudinal
Lapisan luminal (dekat
lumen) yaitu mukosa
dengan epitel transisional.
Bladder/Vesica
urinaria
Lokasi anterior pelvis, saat
penuh, menonjol abdomen
Saat kosong, berbentuk
piramid, 3 sisi.
Apex, basis, perm superior
dan inferolateral
Apexligamen umbilical
median
Baseinverted
triangle,posteroinferior
Neck of bladderpaling
terfixasi, disupport oleh pita
fibromuscular, pd pria ligamen
puboprostat
Pd wanita ligamen
pubovesical.
Di posterior terdapat uterus
pada wanita dan rectum pada
pria.
Bladder/Vesica urinaria
Kapasitas 700-800mL
Lebih kecil sdkt pd perempuan
Pada VU terdapat 3 orificium
(lubang) yang membentuk
trigonum (segitiga).
Dua (2) di atas pada dinding
posterior adalah orificium
ureter dan 1 di bawah
merupakan orificium urethra.
Ketika memasuki urethra
terdapat penebalan lapisan
otot polos yang membentuk
sphincter urethra interna.
Tiga lapisan jaringan VU:

1. Lapisan terluar, jaringan ikat longgar.
Mengandung pembuluh darah dan
limfe serta saraf/nervus. Bagian
superiornya ditutupi peritoneum.
2. Lapisan tengah, mengandung
anyaman massa otot polos dan
jaringan ikat elastis longgar tersusun
dalam 3 lapisan disebut musculus
detrusor yang berfungsi
mengosongkan VU jika
berkontraksi.
3. Lapisan luminal, mukosa yang
dilapisi epitel transisional.
Jika VU kosong, bagian
dalam/mukosa akan berlipatlipat/rugae dan akan hilang bertahap
sejalan dengan terisinya VU.
Uretra
Bag. Akhir sistem urinarius

Pria
Panjang, 20 cm, menekuk 2
kali,berjalan inferior ke
prostatkantong perineal
perineal membranpenis
Bagiannya;
Prostatic; melewati prostat
Membranousa; plg pendek,
melewati perineum
Spongiosa; paling panjang
melewati penis
Wanita
Posterior symphysis pubis
Pendek, 4cm,berjalan
inferior,lantai pelvis---kantong
erinealperineal membran--vestibulum
Tdpt kelnjar mukosa
parauretral (Gland skene)
Oue; orificium uretra externa,
terletak antara klitoris, dan
vagina
Dinding tersusun a/mukosa
dan muskuler
Uretra
Dinding urethra terdiri dari 3 lapisan:
1. Lapisan otot polos, merupakan
kelanjutan otot polos dari VU.
Mengandung jaringan
elastis dan otot polos. Sphincter urethra
menjaga agar urethra tetap tertutup.
2. Lapisan submukosa, lapisan longgar
mengandung pembuluh darah dan saraf
3. Lapisan mukosa
REFLEKS MIKTURISI/MIKSI
Urinasiproses
keluarnya urin
Kombinasi kontraksi otot
volunter dan non volunter
Volume v.urinaria 200400mL---stimulasi
reseptor-rangsangan
syaraf spinalurinasi
Pusat micturasi sacral
spinal S2-S3
Rangsangan syaraf
menyebabkan kontraksi
m. detrussor & relaksasi
m.sphincter uretra interna
Refleks ini dapat dilatih
Latihan pd m.sphincter
uretra external, dan otot
dinding pelvis
Pusat yang di latih
cerebral cortex, sehingga
dapat menunda urinasi
pada periode ttt

Sistem Urinarius, Pelvis & Perineum: DR - Tri Suciati, M.Kes

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Sistem Urinarius, Pelvis & Perineum: DR - Tri Suciati, M.Kes

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Sistem Urinarius,

Pelvis & Perineum

Komponen tulang Pelvis

Apertura Pelvis Superior

Klasifikasi Caldwell dan

Position: Relationship of presenting part to maternal

Greater Pelvis (pelvis major)/

Lesser Pelvis ( pelvis minor)/True

Pelvic Walls and Floors

Pelvic Walls and Floor

Beberapa serabut otot pre rectalis

Pelvic Viscera - Female

Perineum / Regio perineal

Membran perineal membentang antara

Perineal Body and

Muscles Female and male

Deep Transverse Perineal - F

The lymphatic drainage of

External iliac lymph nodes

Sacral lymph node

The Urinary System

The Urinary System

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Organs of the Urinary

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Location and External Anatomy

Renal capsule surrounds the kidney

Relationship of the Kidneys to

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Internal Gross Anatomy of the

Summary of Blood Vessels

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Internal Gross Anatomy of the

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Microscopic Anatomy of the

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Basic Kidney Functions

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The Urinary System

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Renal Corpuscle and the

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Tubular Section of Nephron

Distal convoluted tubule

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Collecting Tubules (Collecting

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Microscopic Blood Vessels

Microscopic Blood Vessels

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The Urinary System

Microscopic Anatomy of the

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Adventitia typical connective tissue

Empty bladder lies

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Stratified and pseudostratified

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External urethral sphincter

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