Collecting ducts receive fluid from many nephrons and run down through the medulla to open at the renal papillae. They are the final site where the body decides how much water and salt to keep. Antidiuretic hormone inserts water channels into their walls, and aldosterone increases sodium reabsorption and potassium secretion.
| Location | From the cortex through the medullary rays and renal pyramids to the papillary ducts at the renal papillae |
|---|---|
| Parts |
|
| Blood Supply | Peritubular capillaries; Vasa recta |
| Venous drainage |
|
Adjusts the final volume and concentration of urine under antidiuretic hormone and aldosterone, and helps regulate acid-base balance.
Failure of the ducts to respond to antidiuretic hormone (nephrogenic diabetes insipidus) leads to large volumes of dilute urine; lithium is a common cause. Potassium-sparing diuretics like spironolactone and amiloride act here. The ducts also secrete acid, so defects cause distal renal tubular acidosis.
The collecting ducts ignore antidiuretic hormone, causing thirst and passing large volumes of dilute urine.
The collecting ducts cannot secrete acid, leading to acidic blood, low potassium and kidney stones.
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