The renal pelvis is the funnel-shaped space where the major calyces come together before narrowing into the ureter. It sits partly inside the renal sinus and partly outside the kidney at the hilum. It collects all urine made by the kidney and pushes it into the ureter by waves of muscle contraction.
| Location | At the renal hilum, partly within the renal sinus, posterior to the renal vessels |
|---|---|
| Parts |
|
| Nerve Supply | Renal plexus |
| Blood Supply | Renal artery branches; Ureteric branches |
| Venous drainage | |
| Lymphatic drainage |
|
Collects urine from the calyces and propels it into the ureter.
The renal pelvis is a common site for stones and for transitional cell (urothelial) cancers, which often cause painless blood in the urine. Its size varies a lot between people; a pelvis lying mostly outside the kidney (extrarenal pelvis) can look large on scans without being blocked. Pyelonephritis literally means infection of the pelvis and kidney tissue.
A narrowing where the pelvis meets the ureter, often present from birth, causing hydronephrosis and flank pain.
A cancer of the lining cells, linked to smoking, that typically presents with blood in the urine.
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