Microscopic haematuria may result from a breach of any part of the urothelium from the kidneys to the urethra. It can also be due to leakage of blood from the kidneys. Microscopic examination of the red blood cells will distinguish between the two. Inflammation / infection of the prostate may affect fertility by adversely impacting the quality and quantity of sperm in addition to causing structural damage to the passage. Timely successful treatment is key to tackle the problem.