Hypertensive kidney disease this situation, the kidney supplied blood by the narrowed renal artery suffers from inadequate blood flow, which in turn causes the size of the kidneys to decrease. Other consequences include arterial stiffening, which involves a gradual breakdown of elastic fibers and intima (the innermost layer of a blood vessel) thickening. An alternative mechanism of hypertensive nephropathy is prolonged glomerular hypertension and hence glomerular hyperfiltration. These can occur simultaneously but not necessarily. The idea is that hypertension results in sclerosis of the glomeruli which ultimately means reduced kidney function. As a compensatory mechanism, the unaffected nephrons (specifically, the preglomerular arterioles) vasodilate
Perineal artery Perineal artery The perineal artery (superficial perineal artery) arises from the internal pudendal artery, and turns upward, crossing either over or under the superficial transverse perineal muscle, and runs forward, parallel to the pubic arch, in the interspace between the bulbocavernosus and ischiocavernosus muscles, both of which it supplies, and finally divides into several posterior scrotal branches which are distributed to the skin and dartos tunic of the scrotum. As it crosses the superficial transverse perineal muscle it gives off the "transverse perineal artery" which runs transversely on the cutaneous surface of the muscle, and anastomoses with the corresponding vessel