SYSTEMA UROPOETICA

Prof.DR. Didik Tamtomo,dr PAK, MM, MKK

Pakar Anatomi Kedokteran

VASKULARISASI

Arteriosa
Aorta abdominalis A. Renalis R. Anterior et R.
Posterior R. Primarius A. Interlobaris A.
Arcuata A. Interlobularis

Arteriole
afferent
glomeruli
Menuju capsula
bowman (sebagai
anyaman kapiler)

r. Perforant
capsularis

Arteriole
efferent
glomeruli

Plexus
capillaris
Membentuk plexus
dan

mempercabangkan
A. Recta (supuria)

Venosa
Vv. Recta V. Interlobularis V. Arcuata V.
Interlobaris V. Renalis V. Cava Inferior
Anastomose Arteriovenosa
1. Sinus Renalis
2. a/v subscapularis
3. a/v interlobularis

INERVASI REN

Simpatis

Nervus

splanchnicus

mayor
Nervus splanchnicus
minor

Parasimpatis
Nervus

vagus

HORSESHOE KIDNEY

Renal fusion anomaly

Midline, connected at
the lower poles
2 etiologies:

Inferior poles of these

early kidneys touch,
fusing
Teratogenic

Asimptomatic, higher
incidence: hidronefrosis,
stone, infection, cancer
Most common:
ureteropelvic junction
obstruction

CROSSED-FUSED ECTOPIA
Anomaly where the
kidneys are fused and
located on the same
side of the midline
Renal function
ussualy normal
Incidence = horseshoe

URETER

2 ureter, 35 40 cm
Ureteropelvic

junction
bifurcatio ateri iliaca
comunis
vesica urinaria

VASKULARISASI DAN INERVASI

URETER

Superior
Arteri

renalis

Medial
Arteri

testicularis/ovarica
Arteri

Inferior
Arteri

iliaca communis
iliaca interna

Inervasi: plexus renalis

MEGAURETER

Enlarged ureter

4 categories
Refluxing
Obstructing
Refluxing/obstructing
Nonrefluxing/nonobstr

ucting

DUPLEX SYSTEM

A kidney with 2
ureters
Associated with ectopic
insertion, ureterocele,
and/or obstruction
Lower ureter more
frequently associated
with vesicoureteral
reflux

ECTOPIC URETER

Ureter drains to an
abnormally located
(ectopic) orifice
Often occurs in the
upper pole, but can
also occur in single
ureters

RETROCAVAL URETER

Ureter may pass

posterior to the inferior
vena cava before hooking
medially anterior to it
and then resuming its
normal course to the
pelvis
Presentation usually
incidental or in the
fourth or fifth decades of
life with obstruction

Apex
uretrae
Tunica
muscularis

Plica
mucosae
Ostium ureteris
Plica interuretica

OUI

Trigonum
vesicae

VASCULARISASI & INNERVASI

Vascularisasi :
arteria iliaca interna.
Arteria vesicalis superior vascularisasi ventro cranial
V.U
man:vesicalis inferior vascularisasi fundus vesicae
Woman; arteria vaginalis
A.obturatoria & a. glutealis inverior V.U
Innervasi :
Parasympathis nn.erigentes
Sympathis nn. Th. XI-XII & nn. L.I-II
innervasi V.U plexus venosus vesicalis
Afferent N. Splanchnicus pelvicus S II-IV