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Urinary system
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==Function== The main functions of the urinary system and its components are to: * Regulate [[blood volume]] and composition (e.g. [[sodium]], [[potassium]] and [[calcium]]) * Regulate [[blood pressure]]. * Regulate [[pH]] [[homeostasis]] of the blood. * Contributes to the production of red blood cells by the [[kidney]]. * Helps synthesize [[calcitriol]] (the active form of [[Vitamin D]]). * Stores waste products (mainly [[urea]] and [[uric acid]]) before it and other products are removed from the body. ===Urine formation=== Average urine production in adult humans is about 1{{ndash}}2 [[litres]] (L) per day, depending on state of hydration, activity level, environmental factors, weight, and the individual's health. Producing too much or too little urine requires medical attention. [[Polyuria]] is a condition of excessive urine production (> 2.5 L/day). Conditions involving low output of urine are [[oliguria]] (< 400 mL/day) and [[anuria]] (< 100 mL/day). The first step in urine formation is the filtration of blood in the kidneys. In a healthy human, the kidney receives between 12 and 30% of [[cardiac output]], but it averages about 20% or about 1.25 L/min. The basic structural and functional unit of the kidney is the [[nephron]]. Its chief function is to regulate the [[concentration]] of [[water]] and soluble substances like [[sodium salt|sodium]] by filtering the [[blood]], reabsorbing what is needed and excreting the rest as [[urine]]. In the first part of the nephron, [[Bowman's capsule]] filters blood from the [[circulatory system]] into the tubules. Hydrostatic and osmotic pressure gradients facilitate filtration across a semipermeable membrane. The filtrate includes water, small molecules, and ions that easily pass through the filtration membrane. However, larger molecules such as [[proteins]] and [[blood cell]]s are prevented from passing through the filtration membrane. The amount of filtrate produced every minute is called the [[glomerular filtration rate]] or GFR and amounts to 180 litres per day. About 99% of this filtrate is reabsorbed as it passes through the nephron and the remaining 1% becomes urine. The urinary system is regulated by the [[endocrine system]] by [[hormone]]s such as [[antidiuretic hormone]], [[aldosterone]], and [[parathyroid hormone]].<ref>{{cite book | last = Maton | first = Anthea | author2 = Jean Hopkins | author3 = Charles William McLaughlin | author4 = Susan Johnson | author5 = Maryanna Quon Warner | author6 = David LaHart | author7 = Jill D. Wright | title = Human Biology and Health | publisher = Prentice Hall | year = 1993 | location = Englewood Cliffs, New Jersey, USA | url = https://archive.org/details/humanbiologyheal00scho | isbn = 0-13-981176-1 | url-access = registration }}</ref> ====Regulation of concentration and volume==== The urinary system is under influence of the [[circulatory system]], [[nervous system]], and [[endocrine system]]. [[Aldosterone]] plays a central role in regulating blood pressure through its effects on the kidney. It acts on the distal tubules and collecting ducts of the nephron and increases reabsorption of sodium from the glomerular filtrate. Reabsorption of sodium results in retention of water, which increases blood pressure and blood volume. Antidiuretic hormone (ADH), is a [[neurohypophysial hormone]] found in most [[mammals]]. Its two primary functions are to retain water in the body and [[vasoconstriction]]. Vasopressin regulates the body's [[Water retention (medicine)|retention of water]] by increasing water reabsorption in the collecting ducts of the kidney nephron.<ref name="isbn0-387-30348-0">{{cite book |vauthors=Caldwell HK, ((Young WS III)), Lajtha A, Lim R | title = Handbook of Neurochemistry and Molecular Neurobiology: Neuroactive Proteins and Peptides | edition = 3rd | publisher = Springer | location = Berlin | year = 2006 | chapter = Oxytocin and Vasopressin: Genetics and Behavioral Implications | chapter-url= http://refworks.springer.com/mrw/fileadmin/pdf/Neurochemistry/0387303480C25.PDF | pages = 573β607| isbn = 0-387-30348-0 }}</ref> Vasopressin increases water permeability of the kidney's collecting duct and distal convoluted tubule by inducing translocation of aquaporin-CD water channels in the kidney nephron collecting duct plasma membrane.<ref name="pmid7532304">{{cite journal |vauthors=Nielsen S, Chou CL, Marples D, Christensen EI, Kishore BK, Knepper MA | title = Vasopressin increases water permeability of kidney collecting duct by inducing translocation of aquaporin-CD water channels to plasma membrane | journal = Proc. Natl. Acad. Sci. U.S.A. | volume = 92 | issue = 4 | pages = 1013β7 |date=February 1995 | pmid = 7532304 | pmc = 42627 | doi = 10.1073/pnas.92.4.1013| bibcode = 1995PNAS...92.1013N | doi-access = free }}</ref> ===Urination=== {{main|Urination}} Urination, also sometimes referred to as micturition, is the ejection of [[urine]] from the [[urinary bladder]] to the outside of the body. Urine is ejected through the [[urethra]] from the [[penis]] or [[vulva]] in [[Placentalia|placental mammals]] and through the [[cloaca]] in other [[vertebrate]]s. In healthy humans (and [[Urination#Animals|many other animals]]), the process of urination is under voluntary control. In infants, some elderly individuals, and those with neurological injury, urination may occur as an involuntary [[reflex]]. Physiologically, micturition involves coordination between the [[central nervous system|central]], [[autonomic nervous system|autonomic]], and [[somatic nervous system]]s. Brain centers that regulate urination include the [[pontine micturition center]], [[periaqueductal gray]], and the [[cerebral cortex]].
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