The invention relates to the technical field of medical apparatus and instruments, and particularly discloses an electronic flexible ureteroscope, a system and a using method. The electronic flexibleureteroscope comprises a flexible ureteroscope body in a hose shape and a lens bracket arranged at the front end of the flexible ureteroscope body, wherein a lens is arranged in the lens bracket, an energy output channel is formed in the flexible ureteroscope body, an energy output part can be arranged in the energy output channel, a hydraulic pressure detection channel is arranged in the flexibleureteroscope body, the front end of the hydraulic pressure detection channel extends to the front end surface of the lens bracket, and a hydraulic pressure sensor is fixed in the hydraulic pressure detection channel. The system comprises a handle, an electronic endoscopy image processor, an energy instrument, a temperature measuring instrument, a pressure measuring instrument and an endoscope irrigation system. According to the using method, when pressure intensity, detected by the hydraulic pressure sensor, in a cavity is larger than a limiting value, alarm can be sent out, a user is reminded to change energy output of the energy instrument, and the conditions that urosepsis is caused and even the patient's life is endangered due to the fact that fluid flows reversely and substances containing bacteria, toxins and pyrogen are brought into blood under too high hydraulic pressure are avoided.