The invention discloses an ultrasonic cystoscope which belongs to the technical field of medical apparatuses. The ultrasonic cystoscope is formed by organically combing an altered scleroid cystoscope with a miniature ultrasonic probe, and has the functions of a cystoscope and ultrasonic inspection. The ultrasonic cystoscope comprises an endoscope main body. The endoscope main body comprises a scleroid endoscope end part, and an apparatus passage, a cold light source input end and an eye lens input end which are communicated with the scleroid endoscope end part. A lens sheath is arranged outside the endoscope main body, and an operator with at least one apparatus passage is connected with the lens sheath. The miniature ultrasonic probe used for carrying out real-time ultrasonic scanning on bladders is arranged in the apparatus passage of the endoscope main body. The ultrasonic cystoscope can exactly fix the position, the size, the appearance and the range of focus, enhance the accuracy of bladder examination, diagnosis and operation, make up the shortage of the current diagnosis and treat methods and better diagnose and treat various bladder diseases. In addition, the ultrasonic cystoscope has favorable grippage, which is convenient for operations to be carried out successfully.