[go: up one dir, main page]

100% found this document useful (1 vote)
160 views42 pages

Embryology of Urogenital System

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1/ 42

EMBRYOLOGY OF

UROGENITAL SYSTEM

ONANUGA I.O. (PhD)


KIDNEY SYSTEM
Transverse section through the urogenital ridge in the lower thoracic region of a 5-week embryo
showing formation of an excretory tubule of the mesonephric system. Note the appearance of
Bowman’s capsule and the gonadal ridge. The mesonephros and gonad are attached to the
posterior abdominal wall by a broad urogenital mesentery. B. Relation of the gonad and the
mesonephros. Note the size of the mesonephros. The mesonephric duct (wolffian duct) runs
along the lateral side of the mesonephros.
METANEPHRIC SYSTEM: the kidney develops from two sources: metanephric
mesoderm, which provides
excretory units; and the ureteric bud, which gives rise to the collecting system.
METANEPHRIC SYSTEM CONT’
The ureteric bud gives
rise to
• The ureter,
• the renal pelvis,
• the major and minor
calyces, and
• approximately
1 million to 3 million
collecting tubules.
EXCRETORY SYSTEM

Development of a metanephric excretory unit. Arrows, the place where the


excretory unit (blue) establishes an open communication with the collecting system
(yellow), allowing flow of urine from the glomerulus into the collecting ducts.
MOLECULAR REGULATION OF KIDNEY DEV.
ASCENT OF KIDNEY

Ascent of the kidneys. Note the change in position between the mesonephric and
metanephric systems. The mesonephric system degenerates almost entirely, and only
a few remnants persist in close contact with the gonad. In both male and female
embryos, the gonads descend from their original level to a much lower position.
Defects

A and B. A complete and a partial double ureter. C. Possible sites of


ectopic ureteral openings in the vagina, urethra, and vestibule.
ABNORMAL POSITION OF
KIDNEYS

Unilateral pelvic kidney showing the position of the adrenal gland


on the affected side.
Defects
• Wilms’ tumor is a cancer (due to mutation of WT1 gene) of the kidneys
that usually affects children by 5 years of age but may also occur in the
fetus.
• WAGR syndrome is characterized by aniridia, hemihypertrophy and
Wilms’ tumor.
• Denys-Drash syndrome consists of renal failure, pseudohermaphrodism,
and Wilms’ tumor.
• Renal dysplasias and agenesis
 Multicystic dysplastic kidney (undifferentiated cells)
 Renal agenesis (uni/bilateral, renal failure)
 Potter sequence (anuria, oligohydramnios, and hypoplastic lungs
secondary to the oligohydramnios).
• Congenital polycystic kidney
 Autosomal recessive (cysts from collecting duct)
 Autosomal dominant (all segments of nephron)
• Duplication of ureter (Partial r complete)
BLADDER AND URETHRA
BLADDER AND URETHRA CONT’
BLADDER AND URETHRA CONT’
Urachal anomalies
DEVELOPMENT OF GONADS

Figure 14.17 A. Relation of the genital ridge and the mesonephros showing location of the
mesonephric duct. B. Transverse section through the mesonephros and genital ridge at the level
indicated in A.
DEVELOPMENT OF GONADS CONT’
DEVELOPMENT OF GONADS CONT’
DEVELOPMENT OF TESTIS
DEVELOPMENT OF GONADS CONT’
DEVELOPMENT OF OVARY
DEVELOPMENT OF GENITAL DUCTS
Molecular Regulation of Genital Duct
Development
DEVELOPMENT OF MALE GENITAL DUCTS
DEVELOPMENT OF FEMALE GENITAL DUCTS
DEVELOPMENT OF FEMALE GENITAL DUCTS
DEV. OF UTERUS AND VAGINA
DEV. EXTERNAL GENITALIA

Figure 14.32 A and B. Indifferent stages of the external genitalia. A. Approximately 4 weeks. B.
Approximately 6 weeks. C. Scanning electron micrograph of the external genitalia of a human
embryo at approximately the seventh week. AF, anal fold; arrowhead, anal opening; GS, genital
DEV. MALE EXTERNAL GENITALIA
DEV. FEMALE EXTERNAL GENITALIA
DESCENT OF TESTIS

Figure 14.40 Descent of the testis. A. During the second month. B. In the middle of the
third month. Peritoneum lining the coelomic cavity evaginates into the scrotal swelling,
where it forms the vaginal process (tunica vaginalis). C. In the seventh month. D. Shortly
DESCENT OF TESTIS, ASS. ANOMALIES
ANOMALIES
SEX DIFFERENTIATION DEFECTS.
 Klinefelter syndrome (47, XXY)
 Gonadal dysgenesis (Swyer syndrome), pt mutaion of SRY gene.
 Turner’s syndrome (45, X)
 Hermaphrodites (Ovotestis)
• Male pseudohermaphroditism
• Female pseudohermaphroditism
 Androgen insensitivity syndrome (Testicular ferminization).
GENITAL DEFECT
 Hypospadias
 Epispadia
 Extrophy of bladder
 Micropenis
 Bifid or double penis
 Congenital Inguinal hernia & hydrocele
 Cryptorchidism
 Duplication of Uterus
 Uterus bicornis and/or with Unicollis
 Atresia of the cervix
ANOMALIES CONT’
ANOMALIES CONT’
ANOMALIES CONT’
ANOMALIES
ANOMALIES
ANOMALIES OF UTERUS AND VAGINA

You might also like