A tissue resecting device includes a handle coupled to an elongated sleeve assembly. The elongated sleeve assembly includes a windowed outer sleeve and an inner sleeve adapted to reciprocate and/or rotate relative to the window to resect tissue intruding into the window, where the resected tissue is captured in a channel in the sleeve assembly. One or more motors in the handle both move the inner sleeve relative to the window and operate a pump which causes a fluid to flow through the channel in the sleeve assembly to remove resected tissue therefrom.
