Lecture 30: The Ureters, Bladder and Urethra Flashcards

1
Q

What is transitional epithelium?

A

Stratified rounded cells

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2
Q

What happens to transitional epithelium when stretched?

A

Flattens

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3
Q

What is the function of transitional epithelium?

A

Protection

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4
Q

Where do the ureters arise?

A

From each renal pelvis at the hilum

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5
Q

What are ureters?

A

Slender tubes that carry urine from the kidneys to the bladder

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6
Q

Where do ureters descend?

A

Retroperitoneally through the abdomen, vertically from the hila

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7
Q

What moves urine to the bladder in ureters?

A

Peristaltic waves

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8
Q

What are the 3 layers of the ureter?

A
  • Mucosa
  • Muscularis
  • Adventitia
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9
Q

What makes the mucosa of the ureter?

2

A
  • Transitional epithelium

- Lamina propria

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10
Q

What makes the muscularis of the ureter?

A
  • Inner longitudinal muscle

- Outer circular muscle

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11
Q

What is the adventitia of the ureter?

A

A fibrous connective tissue

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12
Q

What provides additional protection to the inner surface of the ureter lumen?

A

Protein plaques

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13
Q

How do ureters run into the bladder?

A

Oblique through the wall of the bladder at its posterolateral corners

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14
Q

What do ureters act as?

A

Sphincter/valves

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15
Q

How do uterus act as sphincters/valves?

A

When compressed by increased bladder pressure to prevent back flow

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16
Q

What is the urinary bladder?

A

A collapsible muscular sac

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17
Q

What does the urinary bladder store/repel?

A

Urine

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18
Q

When empty what does the bladder collapse along?

A

Folds called rugae

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19
Q

What happens to the bladder when it expands?

A

It does so without great increase in pressure to approximately 500ml

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20
Q

What is the shape of an empty bladder?

A

Pyramidal

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21
Q

Where does the bladder lie when empty?

A

Within the pelvis

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22
Q

What happens to the bladders shape as it fills?

A

It becomes more spherical

23
Q

Where does the bladder expands as it fills?

A

Superiorly into the abdominal cavity

24
Q

What can we do to the bladder when it is full?

A

Palpitate it above the pelvic symphysis

25
What is the location of the male bladder? | 2
- Anterior to the rectum | - Superior to prostate glands (wraps around the urethra)
26
What is the location of the female bladder?
Anterior to the vagina and uterus
27
What is the urinary bladder folded into for expansion?
Rugae
28
What is the mucosa of the urinary bladder?
Transitional epithelium
29
What is the name of the thick smooth muscle layer in the urinary bladder?
Detrusor
30
What is the detrusor made of? | 3
- Longitudinal fibres - Oblique fibres - Circular fibres
31
What does the urinary bladder contract to do?
Expel urine from the bladder into the urethra during urination
32
What is the urethra?
A thin walled muscular tube
33
What does the urethra do?
Drains urine from the bladder out of the body
34
What happens to the epithelium along the urethra?
It changes
35
What are the 3 types of epithelium in the urethra?
- Transitional epithelium (near the bladder) - Columnar epithelium - Stratified squamous (near the external opening)
36
What are there significant difference between the urethras of?
Men and women
37
How long is the female urethra?
Approximately 5cm
38
What is the female urethra seperate from?
The reproductive system
39
How long is the male urethra?
Approximately 25cm
40
What is the male urethra part of?
The reproductive system
41
What is the initial section of the urethra surrounded by?
The prostate glands
42
What does the prostate gland do?
Produces seminal fluid
43
What are the 3 sections of the urethra?
- Prostatic - Membranous - Spongy/penile
44
What is the internal urethral/urinal sphincter the junction of?
The bladder and urethra
45
What type of muscle is the internal urethral/urinal sphincter?
Detrusor muscle
46
What kind of control is the internal urethral/urinal sphincter under?
Involuntary control
47
Where is the external urethral/urinary sphincter located?
Where the urethra passes through the urogenital diaphragm
48
What type of muscle is the external urethral/urinal sphincter?
Skeletal muscle
49
What kind of control is the internal urethral/urinal sphincter under?
Involuntary control
50
What happens to the bladder in urination?
Fills with urine and expands
51
When the bladder expands what happens to action potentials?
Action potentials are sent from stretch receptors to the brain
52
What happens to the urgency of urination as action potential frequency increases?
Urgency increases
53
What happens to the internal sphincter of the urethra during urination?
It relaxes
54
What has to happen to the external sphincter of the urethra during urination?
It has to be consciously relaxed