clinical oriented anatomy of urinary system
TRANSCRIPT
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
1/81
Clinical oriented Anatomy
Urinary System
1
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
2/81
Clinical oriented anatomy:
urinary system
Relate to clinical setting
Anamnesis:, location, refer red pain etc
physical examination genitourinary exam,
imaging examination X-ray, US, arteriography, !U"
#$idney ureter %ladder&, '(U
diagnosis: in)ammation*infection #nephritis&,tumor*neoplasma #"+, ca prostat& imunologic#nephrotic syndrome&, meta%olic #stones&, genetic
#polycystic $idney disease&, congenital #phimosis&,trauma #ruptur urethra&
treatment: lithotripsi #.S/0& URS, +C0, 2UR+, surgery
education: counseling, gi3ing information
4
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
3/81
INTRODUCTION
2he urinary system consist of:
- t5o kidneys (renes), producingurine
- ureters, con3eying it to the pel3icurinary 3iscera, namely
- the urinary bladder (vesica
urinaria) for temporary storage
- the urethra%y 5hich the %ladderempties
6
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
4/81
ORGANA URINARIARen (nephros)
Ureter
Vesica urinaria
Urethra
7
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
5/81
8
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
6/81
INTRODUCTION
2he functions of the kineyare :
- e!crete the meta"o#ic acti$ities an e!cess%ater essential to the control of
concentration of 3arious su%stances in the%ody )uid, for example maintainingelectrolyte and 5ater %alance approximatelyconstant in the tissue )uid
- enocrine functions: producing and releasing
erythropoietin, 5hich e9ects %lood formationrenin, 5hich in)uences %lood pressure
&'*hyro!ycho#eca#cifero#, 5hich iscontrol of calcium meta%olism
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
7/81
T+, -IDN,.
Reddish-%ro5n # in the fresh-state&
are situated
+osteriorly %ehind the peritoneum on each side of3erte%ral column
Superiorly are le3el 5ith the upper %order of thet5elfth thoracic 3erte%ra
'nferiorly 5ith the third lum%ar
2he di9erence %et5een the right ; the left
$idney are-2he right is usually slightly inferior to the left,pro%a%ly due to its relationship to the li3er
- 2he left is a little longer and narro5er than the rightand lies nearer the median plane
+HS2.R'HR A"GH>'A0
/A00
)! in'erior vena cava
*! +erotas 'asc%a
-! #ararenal retroeritoneal 'at.! #erinehric 'at
/0! 1ight gonadal vein and artery
/2! 1ight common iliac artery
/3! 1ight %reter
4aintaining the 3oiding re)ex is throughascending a9erent input from the spinalcord, 5hich may pass through theperiaIueductal gray matter #+A&%eforereaching the pontine micturition center
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
75/81
Clinical anatomy of urinary%ladder
?istula 3esicoum%ilicale
Cyste urachus
Cystocele .xtrophy 3esicae
Retensi urine
Cystotomi Cystitis
3esicolithiasis
?laccid %ladder Ruptur 3esicae etc
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
76/81
UR,T+RA 1ASCU2INA
+ars prostaticaCrista urethralis
Colliculus seminalis
Utriculus prostaticusSinus protaticus
+ars mem%ranacea
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
77/81
UR,T+RA 1ASCU2INA
+ars spongiosa?ossa na3icularis urethra
#(al3ula fossae na3icularis&
Hstium urethrae externum
0acunae urethrales
landulae urethrales
Guctus #canales& para-urethrales
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
78/81
Urethra 0ela$i: 4 cm tDaD pars Bxa ; pars
li%era
pars prostatica: 6 cm, terle%ar, dpt
dilatasi pars mem%ranosa: 1,8 cm, tersempit
pars spongiosa: pele%aran pd fossa
intra%ul%aris ; fossa na3icularis /anita: 7 cm
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
79/81
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
80/81
=
Clinical anatomy of
-
7/25/2019 Clinical Oriented Anatomy of Urinary System
81/81
Clinical anatomy of
urethra*penis*3ul3a
Urethritis Urethro#ithiasis
0a#anitis
0a#anopostitis
/eyronie isease
/himosis
,pispaia
+ypospaia
Circumcici
4istu#auretho$a5ina#is
0artho#initis 0eni5na prostat
+ypertrophy +erpes 5enita#is etc