The invention discloses an ureteroscope capable of achieving water circulation, and relates to the technical field of medical instruments. The ureteroscope comprises an outer endoscope tube, an innerendoscope tube, an optical fiber and an operation through tube. A water inlet through pipe and a water outlet through pipe are arranged; the water inlet through pipe and the water outlet through pipeare independent channels, and the diameter of the water outlet through pipe is larger than that of the water inlet through pipe, so water flow circulation can be formed in a surgical zone, thus maintaining the surgical zone in a low pressure state, and preventing the risk of renal pelvis high pressure; meanwhile, a ureter in front of the endoscope body is expanded during water injection and the surgical field view is exposed, thus reducing surgical zone temperature, and the safety of the device is ensured; the water inlet through pipe and the water outlet through pipe are arranged in a relatively inclined manner, and are beneficial to water inflow and timely smooth suction of lithotripsy particles, thus ensuring lithotripsy efficiency, and solving the problems that when a water injection channel and an operation channel of the ureteroscope are shared, water circulation cannot be formed, large-size calculi cannot perform holmium laser lithotripsy, lithotripsy particle accumulation cannot be removed in time, surgical view is affected, and lithotripsy efficiency is affected.