A 62-year-old male patient presented with intermittent hematuria and urgency of urine. Cystoscopic examination revealed a multicentric papillary tumor in the urinary bladder. The patient underwent transurethral resection of bladder tumour (TURBT) followed by immediate instillation of Doxorubicin. Subsequent histopathology showed the features of noninvasive papillary urothelial carcinoma, Grade 1, Stage T1. According to the treatment protocol, this case was considered for intravesical BCG therapy (Strain : D0 anish-1331) at a dose of 120 mg weekly for six weeks. BCG immunotherapy started after 10th post operative day and continued for 6 weeks thereafter. A follow-up cystoscopy was carried out after completion of therapy and found no recurrences of the tumor at that point of time. Approximately two weeks after completion of BCG therapy patient started suffering of mild dysuria. Tender, papular and ulcerated eruptions with mild discharge were noted on the glans penis. The patient was not circumcised. Local examination revealed mildly tender inguinal lymphadenopathy on the right side. Oral Azithromycin at a dose of 500 mg BD was prescribed along with topical antimicrobial agent empirically. But the patient did not respond well. Routine investigation including Chest X-ray, complete blood count (CBC), urine routine and culture and venereal disease research laboratory (VDRL) tests were advised. CBC was within normal range for the age except erythrocyte sedimentation rate, which was strikingly increased to 102 mm at first hour. VDRL test for Syphilis and ELISA for human immunodeficiency virus type 1 and 2 were non reactive. Routine urine examination and culture did not reveal anything. An incisional biopsy performed and tissue was sent to the department of pathology. Histopathological examination showed caseating granuloma under the penile mucosa with ulceration at places. [Figures 1 and 2] Ziehl-Neelsen stain and Periodic acid-Schiff stain did not reveal any organism. Culture for tuberculosis was not done. Anti-tubercular therapy started with two drug regimen comprising 300 mg of isoniazid and 450 mg of rifampicin once daily. Lesions began to heal by the tenth day of therapy. The therapy was continued for six months and lesions were completely healed. The patient was advised to attend OPD for regular follow-up and check cystoscopy.