THE URINARY BLADDER
This presentation is the property of its rightful owner.
Sponsored Links
1 / 30

THE URINARY BLADDER ANATOMY AND PHYSIOLOGY PowerPoint PPT Presentation


  • 83 Views
  • Uploaded on
  • Presentation posted in: General

THE URINARY BLADDER ANATOMY AND PHYSIOLOGY. Dr. Ali Kamal M. Sami M.B.Ch.B. M.A.U.A. F.I.B.M.S. M.I.U.A. Gross Appearance. A hollow muscular organ A reservoir for urine The adult bladder normally has a capacity of 400–500 ml.

Download Presentation

THE URINARY BLADDER ANATOMY AND PHYSIOLOGY

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


The urinary bladder anatomy and physiology

THE URINARY BLADDER

ANATOMY AND PHYSIOLOGY

Dr. Ali Kamal M. Sami

M.B.Ch.B. M.A.U.A.

F.I.B.M.S. M.I.U.A.


Gross appearance

Gross Appearance

A hollow muscular organ

A reservoir for urine

The adult bladder normally has a capacity of 400–500 ml.


The urinary bladder anatomy and physiology

When empty, bladder lies behind the pubic symphysis &it is a pelvic organ.

In infants and children , it is situated higher.

When it is full, it rises above the symphysis and can readily be palpated or percussed.

When over distended, as in acute or chronic urinary retention, it may cause the lower abdomen to bulge visibly.


The urinary bladder anatomy and physiology

Extending from the dome of the bladder to the umbilicusis a fibrous cord, the median umbilical ligament, whichrepresents the obliterated urachus .


The urinary bladder anatomy and physiology

Uretersenter the bladder posteroinferiorlyare about 5 cm apart .

The orifices,situated at interureteric ridge that forms the proximal border of the trigone, are about 2.5 cm apart.

The trigone occupies the area between the ridge and the bladder neck.


The urinary bladder anatomy and physiology

RELATIONS


The urinary bladder anatomy and physiology

The bladder is related to the posterior surface of the pubic symphysis,

and, when distended, it is in contact with the lower

abdominal wall.


The urinary bladder anatomy and physiology

Histology


The urinary bladder anatomy and physiology

  • Blood Supply


The urinary bladder anatomy and physiology

A. ARTERIAL

1-Superior Vesical,

2-Middle Vesical,

3-Inferior Vesical arteries, which arise from

the anterior trunk of the internal iliac (hypogastric)artery,

4-The obturator artery.

5-The inferior gluteal artery.

In females, the 6-uterine and 7-vaginal

arteries also send branches to the bladder.


The urinary bladder anatomy and physiology

B. VENOUS

Surrounding the bladder is a rich plexus of veins that ultimately empties into the internal iliac (hypogastric) veins.


The urinary bladder anatomy and physiology

Lymphatics

The lymphatics of the bladder drain into

1-the vesical,

2-external iliac,

3-internal iliac (hypogastric),

4-common iliac lymph nodes.


The urinary bladder anatomy and physiology

Physiology


The urinary bladder anatomy and physiology

The nerves concerned in micturition are as follows.

1-The parasympathetic input; derived from the anterior primary divisions of the second, third and fourth sacral segments ( S2 ,S3,S4). These fibers pass through the pelvic splanchnic nerves inferior hypo gastric plexus, from which they are distributed to the bladder.

The pelvic plexus is easily damaged during excisions of the rectum, following which disturbances of micturition and sexual function may occur.


The urinary bladder anatomy and physiology

2-The sympathetic input;These nerves arise in the 11th thoracic to the second lumbar segments (T11,T12,L1,L2).

Pass via the presacral hypo gastric nerveand the sympathetic chains to the inferior hypo gastric plexus, which is situated lateral to the rectum, the bladder


The urinary bladder anatomy and physiology

3-Somatic innervations;

passes to the distal sphincter throughthe Pudendal nerves and through the inferior hypo gastric plexus .


The urinary bladder anatomy and physiology

The sympathetic nerves convey afferent painful stimuli following over distension of the fundus , from the mucosa where they respond to touch, temperature and pain, and also from the muscle of the detrusor and lamina propria where they convey stretch information.

These afferents pass via the inferior hypo gastric plexus .

Efferent fibers pass via the pelvic parasympathetics. Normal micturition is coordinated in the Pons in the midbrain where detrusor contraction is timed with inhibition of the distal sphincter mechanism.


The urinary bladder anatomy and physiology

Thank you


  • Login