Genitourinary system

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Genitourinary system
Female and male Organs.png
Some components of the female and male genitourinary system
Details
Identifiers
Latin apparatus urogenitalis, systema urogenitale
MeSH D014566
Anatomical terminology

The genitourinary system, or urogenital system, are the sex organs of the reproductive system and the organs of the urinary system. [1] These are grouped together because of their proximity to each other, their common embryological origin and the use of common pathways. Because of this, the systems are sometimes imaged together. [2] In placental mammals (including humans), the male urethra goes through and opens into the penis while the female urethra and vagina empty through the vulva. [3]

Contents

The term "apparatus urogenitalis" was used in Nomina Anatomica (under splanchnologia) but is not used in the current Terminologia Anatomica .

Development

The urinary and reproductive organs are developed from the intermediate mesoderm. The permanent organs of the adult are preceded by a set of structures that are purely embryonic and that, with the exception of the ducts, disappear almost entirely before the end of fetal life. These embryonic structures are on either side: the pronephros, the mesonephros and the metanephros of the kidney, and the Wolffian and Müllerian ducts of the sex organ. The pronephros disappears very early; the structural elements of the mesonephros mostly degenerate, but the gonad is developed in their place, with which the Wolffian duct remains as the duct in males, and the Müllerian as that of the female. Some of the tubules of the mesonephros form part of the permanent kidney.

Structures

Urethra

Female Urethra

The urethra of an adult human female is 3-4 cm long. [4] The female urethra is located between the bladder neck to the external urethral orifice and is behind the symphysis pubis. [4] The urethral wall is composed of an inner epithelial lining, a sub-mucosa layer containing vascular supply, a thin fascial layer, and two layers of smooth muscle. [4]

Male Urethra

The urethra of an adult human male is 18-20 cm long. [4] It has a diameter of 8-9 mm. [4] The male urethra is divided into two sections.

Disorders

Deaths due to genitourinary diseases per million persons in 2012
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22-87
88-106
107-123
124-137
138-148
149-164
165-177
178-214
215-255
256-382 Genitourinary diseases world map-Deaths per million persons-WHO2012.svg
Deaths due to genitourinary diseases per million persons in 2012
  22-87
  88-106
  107-123
  124-137
  138-148
  149-164
  165-177
  178-214
  215-255
  256-382

Disorders of the genitourinary system includes a range of disorders from those that are asymptomatic to those that manifest an array of signs and symptoms. Causes for these disorders include congenital anomalies, infectious diseases, trauma, or conditions that secondarily involve the urinary structure.

To gain access to the body, pathogens can penetrate mucous membranes lining the genitourinary tract.

Malformations

Urogenital malformations include:

As a medical specialty, genitourinary pathology is the subspecialty of surgical pathology which deals with the diagnosis and characterization of neoplastic and non-neoplastic diseases of the urinary tract, male genital tract and testes. However, medical disorders of the kidneys are generally within the expertise of renal pathologists. Genitourinary pathologists generally work closely with urologic surgeons.

Related Research Articles

<span class="mw-page-title-main">Urology</span> Medical specialty on the urinary and reproductive systems

Urology, also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary system and the reproductive organs. Organs under the domain of urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs.

<span class="mw-page-title-main">Urethra</span> Tube that connects the urinary bladder to the external urethral orifice

The urethra is the tube that connects the urinary bladder to the urinary meatus, through which placental mammals urinate and ejaculate. In non-mammalian vertebrates, the urethra also transports semen but is separate from the urinary tract.

<span class="mw-page-title-main">Bladder</span> Organ in vertebrates that collects and stores urine from the kidneys before disposal

The bladder is a hollow organ in humans and other vertebrates that stores urine from the kidneys. In placental mammals, urine enters the bladder via the ureters and exits via the urethra during urination. In humans, the bladder is a distensible organ that sits on the pelvic floor. The typical adult human bladder will hold between 300 and 500 ml before the urge to empty occurs, but can hold considerably more.

<span class="mw-page-title-main">Urinary system</span> Anatomical system consisting of the kidneys, ureters, urinary bladder, and the urethra

The human urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressure, control levels of electrolytes and metabolites, and regulate blood pH. The urinary tract is the body's drainage system for the eventual removal of urine. The kidneys have an extensive blood supply via the renal arteries which leave the kidneys via the renal vein. Each kidney consists of functional units called nephrons. Following filtration of blood and further processing, wastes exit the kidney via the ureters, tubes made of smooth muscle fibres that propel urine towards the urinary bladder, where it is stored and subsequently expelled through the urethra during urination. The female and male urinary system are very similar, differing only in the length of the urethra.

<span class="mw-page-title-main">Mesonephric duct</span> Paired organ in mammals

The mesonephric duct, also known as the Wolffian duct, archinephric duct, Leydig's duct or nephric duct, is a paired organ that develops in the early stages of embryonic development in humans and other mammals. It is an important structure that plays a critical role in the formation of male reproductive organs. The duct is named after Caspar Friedrich Wolff, a German physiologist and embryologist who first described it in 1759.

<span class="mw-page-title-main">Urogenital sinus</span> Embryological part during the development of the urinary and reproductive organs in mammals

The urogenital sinus is a body part of a human or other placental only present in the development of the urinary and reproductive organs. It is the ventral part of the cloaca, formed after the cloaca separates from the anal canal during the fourth to seventh weeks of development.

<span class="mw-page-title-main">Female reproductive system</span> Reproductive system of female humans

The human female reproductive system is made up of the internal and external sex organs that function in the reproduction of new offspring. The reproductive system is immature at birth and develops at puberty to be able to release matured ova from the ovaries, facilitate their fertilization, and create a protective environment for the developing fetus during pregnancy. The female reproductive tract is made of several connected internal sex organs—the vagina, uterus, and fallopian tubes—and is prone to infections. The vagina allows for sexual intercourse, and is connected to the uterus at the cervix. The uterus accommodates the embryo by developing the uterine lining.

<span class="mw-page-title-main">Paramesonephric duct</span> Paired ducts in the mammalian embryo in the primitive urogenital structures

The paramesonephric ducts are paired ducts of the embryo in the reproductive system of humans and other mammals that run down the lateral sides of the genital ridge and terminate at the sinus tubercle in the primitive urogenital sinus. In the female, they will develop to form the fallopian tubes/oviducts, uterus, cervix, and the upper one-third of the vagina.

The development of the urinary system begins during prenatal development, and relates to the development of the urogenital system – both the organs of the urinary system and the sex organs of the reproductive system. The development continues as a part of sexual differentiation.

<span class="mw-page-title-main">Male reproductive system</span> Reproductive system of the human male

The male reproductive system consists of a number of sex organs that play a role in the process of human reproduction. These organs are located on the outside of the body, and within the pelvis.

Vaginal atresia is a condition in which the vagina is abnormally closed or absent. The main causes can either be complete vaginal hypoplasia, or a vaginal obstruction, often caused by an imperforate hymen or, less commonly, a transverse vaginal septum. It results in uterovaginal outflow tract obstruction. This condition does not usually occur by itself within an individual, but coupled with other developmental disorders within the female. The disorders that are usually coupled with a female who has vaginal atresia are Mayer-Rokitansky-Küster-Hauser syndrome, Bardet-Biedl syndrome, or Fraser syndrome. One out of every 5,000 women have this abnormality.

<span class="mw-page-title-main">Mesonephros</span> Principal excretory organ during early human embryonic life

The mesonephros is one of three excretory organs that develop in vertebrates. It serves as the main excretory organ of aquatic vertebrates and as a temporary kidney in reptiles, birds, and mammals. The mesonephros is included in the Wolffian body after Caspar Friedrich Wolff who described it in 1759.

Pronephros is the most basic of the three excretory organs that develop in vertebrates, corresponding to the first stage of kidney development. It is succeeded by the mesonephros, which in fish and amphibians remains as the adult kidney. In amniotes, the mesonephros is the embryonic kidney and a more complex metanephros acts as the adult kidney. Once a more advanced kidney forms, the previous version typically degenerates by apoptosis or becomes part of the male reproductive system.

<span class="mw-page-title-main">Intermediate mesoderm</span> Layer of cells in mammalian embryos

Intermediate mesoderm or intermediate mesenchyme is a narrow section of the mesoderm located between the paraxial mesoderm and the lateral plate of the developing embryo. The intermediate mesoderm develops into vital parts of the urogenital system.

<span class="mw-page-title-main">Posterior urethral valve</span> Medical condition

Posterior urethral valve (PUV) disorder is an obstructive developmental anomaly in the urethra and genitourinary system of male newborns. A posterior urethral valve is an obstructing membrane in the posterior male urethra as a result of abnormal in utero development. It is the most common cause of bladder outlet obstruction in male newborns. The disorder varies in degree, with mild cases presenting late due to milder symptoms. More severe cases can have renal and respiratory failure from lung underdevelopment as result of low amniotic fluid volumes, requiring intensive care and close monitoring. It occurs in about one in 8,000 babies.

<span class="mw-page-title-main">Cloaca (embryology)</span> Structure in the embryo

The cloaca is a structure in the development of the urinary and reproductive organs.

<span class="mw-page-title-main">Urinary meatus</span> Orifice of the urethra

The urinary meatus, also known as the external urethral orifice, is the opening of the penis or vulva where urine exits the urethra during urination. It is also where semen exits during male ejaculation, and other fluids during female ejaculation. The meatus has varying degrees of sensitivity to touch.

The development of the reproductive system is the part of embryonic growth that results in the sex organs and contributes to sexual differentiation. Due to its large overlap with development of the urinary system, the two systems are typically described together as the genitourinary system.

The kidneys are a pair of organs of the excretory system in vertebrates, which maintain the balance of water and electrolytes in the body (osmoregulation), filter the blood, remove metabolic waste products, and, in many vertebrates, also produce hormones and maintain blood pressure. In healthy vertebrates, the kidneys maintain homeostasis of extracellular fluid in the body. When the blood is being filtered, the kidneys form urine, which consists of water and excess or unnecessary substances, the urine is then excreted from the body through other organs, which in vertebrates, depending on the species, may include the ureter, urinary bladder, cloaca, and urethra.

References

  1. "genitourinary system" at Dorland's Medical Dictionary
  2. "UC Davis Department of Radiology - Genitourinary Radiology" . Retrieved 2010-03-16.
  3. Marvalee H. Wake (15 September 1992). Hyman's Comparative Vertebrate Anatomy. University of Chicago Press. p. 583. ISBN   978-0-226-87013-7 . Retrieved 6 May 2013.
  4. 1 2 3 4 5 Abelson, Benjamin (22 October 2018). "Sex differences in lower urinary tract biology and physiology". Biology of Sex Differences. 9 (1): 45. doi: 10.1186/s13293-018-0204-8 . PMC   6196569 . PMID   30343668.