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Urinary System SHANDONG UNIVERSITY Liu Zhiyu Kidney Ureter Bladder Urethra Kidney 一、the shape of the kidney Superior and inferior end Medial and lateral border Anterior and posterior surface Renal hilum 、 Renal Sinus 、 Renal Pedicle Renal hilum: Renal Sinus: Renal hilum 、 Renal Sinus 、 Renal Pedicle Renal Pedicle : from anterior to posterior: renal vein renal artery renal pelvis from superior to inferior : renal artery renal vein renalpelvis 三、position and capsule of kidney (一) position The kidneys lie on posterior abdominal wall on either side of the vertebral column, behind the peritoneum ,they are retroperitoneal organ. The hilum of kidney is at the level of first lumber vertebra. : Left kidney: superior end: ; inferior end: the 12th rib crosses obliquely the upper third of the posterior surface of the right kidney,and the middle part of the left one. 三、 covering of kidney 1) renal fascia : renal fascia 2) adipose capsule: 3) fibrous capsule: 四、structure of kidney: Renal Cortex 、Renal Medulla Renal Cortex Lesser renal calices (7-8) Renal Pyramid major renal calices(2-3) Renal Column renal papillae Renal Pelvis Foramina of papillae Renal segments • The kidney is divided into five segments and each is supplied by a branch of the renal artery; Superior segment Superior anterior segment Inferior anterior segment Inferior segment Posterior segment Renal anomalies Horseshoe kidney Pelvic position of kidney Ureters Muscular tube, about 25cm long Three parts Abdominal part - descend on the psoas major behind the peritoneum Pelvic part - in female, passes 2cm lateral to the neck of uterus and lies below the uterine artery Intramural part - passes obliquely through the urinary bladder wall Ureters 二、Strictures of ureter Superior stricture 腹部 Middle stricture Inferior stricture 盆部 壁内部 Urinary Bladder Apex of bladder Body of bladder Fundus of bladder Neck of bladder Trigone of bladder : Formed by right and left orifice of ureter and the internal urethral orifice Interureteric fold Vesical plica position Relation Anterior: pubical symphysis Posterior: Male: seminal vesicle ampulla ductus deferentis rectum. Female: Inferior: male: prostate female: urogenital diaphragm 3、position and relation female urethre characteristics: wide,short and straight Renal transplant