A 71-year-old man presented with an erythematous plaque around the urinary meatus that had been slowly enlarging for the past eight months. Six months before presentation, the patient was treated based on an impression of eczema. He had a history of radical cystectomy with ileal conduit urinary diversion for urothelial carcinoma of the bladder three years previously. The resected margin was negative and no recurrence had been detected afterward. Physical examination revealed a scaly, erythematous plaque around the urethral orifice.