F.1. Introduction Urinary System

A. Basic organs of the urinary system: top?
1.
The Urinary system consists of six separate organs:
1. Two kidneys
2. Two ureters
3. One bladder
4. One urethra
2.
The two kidneys (left and right) continuously filtrate the blood to remove waste and to regulate the amount of water in the body (= the water balance).




Diagram of the urinary system
3.
The blood comes from the heart through the (abdominal) aorta and the artery renalis (renal = kidney) into the kidney.
4.
Most of the blood, after filtering, flows back into the body through the venous renalis and the inferior vena cava.
5.
The waste and any excess water are secreted through the ureters as urine.
6.
The two ureters are long small tubes that push the urine from the kidneys to the bladder.
7.
The bladder collects the urine that is continuously formed by the kidneys and stores this until there is a convenient moment to pee!
8.
The urethra connects the bladder to the outside world. Note that the urethra is much shorter in females than in man, where the urethra runs along the length of the penis.
9.
Btw, the two kidneys, are located retroperitoneal, that is behind the abdominal cavity (=peritoneum), protected by the back muscles and the lower ribs.
10.
The urinary bladder however is located inside the peritoneum at the bottom, so that it can ‘grow’ in size when it gets filled up!

B. Water Balance: top?
1.
You may not know this, but your body is actually a huge sack of water!
2.
In general, your body consists 50-60% of water. So, if your weight is, let’s say, 80 kg, then the total amount of water in your body is 45 litres (±13 gallons)!

Diagram of the mouth and the nose cavities
3.
Most of this water is located inside all the cells (= intracellular water; about 66%). A smaller amount is located between the cells (= interstitial fluid; about 30%) and the smallest amount is in your blood vessels (= plasma; about 3 litres).

4.
Every day, this water needs to be refreshed, the blood needs to be filtered, the waste removed etc. This also implies that, every day, we need to drink water.

Diagram of the mouth and the nose cavities
5.
As shown in the diagram, every day, we need to take, on average, about 2.4 litres/day (although this can vary a lot between individuals).
6.
Most of this intake we do by drinking (water, coffee, coke, etc). But some 30% is taken through our food.
7.
In order not to swell, we then also need to remove a similar amount of water everyday!
8.
Most of the water (some 60%) is excreted by the kidney into urine.
9.
But we also lose water with our respiration. Every time we breathe air inside our lungs, this air is wetted (‘humidified’). When we then exhale, this ‘wetted’ air flows out of our body and its water content is ‘lost’.
10.
Some water is also lost though our skin. This is sometimes called “perspiratio insensibilis” (=invisible perspiration).
11.
And, finally, we can also lose some water through real perspiration (sweating) and with our faeces.
12.
But please note that all these values are highly variable. For example, in diarrhoea, you would lose much more water through the faeces!

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F.1. Introduction Urinary System

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