A resectoscope includes a handle portion, a flow sheath, and an electrode. The flow handle portion includes a trigger, the flow sheath extends from the handle portion and has a hub and a shaft extending from the hub including a rigid inner tube and a semi-rigid outer tube, the rigid inner tube extending through the semi-rigid outer tube to define a channel therebetween, wherein the rigid inner tube may include a fiber-reinforced material, the semi-rigid outer tube may include a polymeric material. The retractor tool is slidably disposed in the flow sheath and includes a linkage and a traction member pivotably coupled to the linkage. The electrode is slidably disposed in the flow sheath and may be made at least in part of sheet metal.
