🧠 Urinary System – Anatomy & Physiology
1. 🩺 Anatomy and Physiology of the Urinary System
Main Organs:
o Kidneys: Filter blood to form urine.
o Ureters: Transport urine from kidneys to bladder.
o Urinary Bladder: Temporarily stores urine.
o Urethra: Conducts urine out of the body.
Nephron:
The functional unit of the kidney; each kidney has about 1 million nephrons.
2. 💧 Physiology of Urine Formation
Urine formation occurs in three steps:
1. Glomerular Filtration
Takes place in glomerulus (Bowman’s capsule).
Filters water, glucose, salts, and waste from the blood.
2. Tubular Reabsorption
Reabsorbs essential substances like glucose, amino acids, and water into the blood.
Mainly occurs in proximal convoluted tubule.
3. Tubular Secretion
Actively removes additional wastes (e.g., hydrogen, potassium, creatinine) from blood
into the tubule.
Helps maintain pH balance.
Daily Urine Output: ~1.5 liters
Normal pH: 4.5 – 8
3. 🧬 Renin-Angiotensin-Aldosterone System (RAAS)
A hormonal system that regulates blood pressure and fluid balance:
1. Renin (from kidneys) is released in response to low blood pressure.
2. Converts angiotensinogen (from liver) → angiotensin I
3. ACE (Angiotensin-Converting Enzyme) converts I → angiotensin II
4. Angiotensin II:
o Constricts blood vessels → ↑ BP
o Stimulates aldosterone release (from adrenal cortex)
5. Aldosterone:
o Promotes sodium & water reabsorption in kidneys
o Increases blood volume and pressure
4. 🧪 Renal Clearance Tests
Used to assess kidney function (especially glomerular filtration rate):
Test What it Measures
Creatinine Clearance Estimates GFR using creatinine levels (common & practical)
Inulin Clearance Accurate but rarely used (research standard for GFR)
Urea Clearance Measures the kidney’s ability to remove urea
5. 🚽 Micturition (Urination)
Definition: The act of expelling urine from the bladder.
Process:
Bladder fills with urine → stretch receptors activated
Signal sent to micturition center (pons in brain)
Voluntary decision to urinate
Detrusor muscle contracts
Internal & external sphincters relax
Urine is expelled through urethra
Control:
Involuntary: Internal sphincter, detrusor muscle
Voluntary: External sphincter (somatic nervous system)