The application provides an adjustable ureteral sheath, which comprises a supporting piece, a Y-shaped main body, a rotating mechanism, a guide sheath tube and an expansion mechanism; the Y-shaped main body comprises a first connecting port and a second connecting port, and the second connecting port is used for connecting a vacuum device; the expansion mechanism comprises an expander seat and an expander tube body, the expander seat is arranged on the first connecting port, and the supporting piece wraps the expander seat; the guide sheath tube wraps the expander tube body; the rotating mechanism comprises a rotating
handle, a
cam ring and a steel wire, the rotating
handle is arranged on the
cam ring, one end of the steel wire is arranged on the
cam ring, the other end of the steel wire is arranged on the guide sheath tube, and the cam ring is arranged on the supporting piece. Through the rotating mechanism, the ureteral sheath can be adjusted and positioned, a stable channel is established, and an
endoscope or a
surgical instrument can conveniently enter and exit a
lesion position.