Abstract: A urological resectoscope is disclosed, having a tubular shaft (1), through which an optical system (2) and a longitudinally moveable instrument carrier (5) pass. The optical system (2) is supported with respect to the tubular shaft (1) at a spacing from the proximal end of the tubular shaft (1) with a support device (9, 12). The carrier (5) is positioned with a radial positioning device (10, 15) and a circumferential angular positioning device (11, 12). The support device (12, 18, 18?) is so arranged adjacent to the optical system (2) in the region in which the carrier (5) extends, that it supports the optical system (2) with respect to the tubular shaft (1) with a two point support system and imparts lateral guidance to the carrier (5) in the circumferential angular direction.