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Possible causes of bladder outlet obstruction might include: 1  Enlarged prostate, also known as benign prostatic hyperplasia (BPH) â this is the most common cause of bladder outlet obstruction in men. 2  Scarring of the urinary channel (urethra) or bladder neck, as a result of injury or surgery.
Overflow incontinence: People who suffer from overflow incontinence experience periodic urine leakage. Urine leaks out of a bladder that is distended and overfilled. In men, prostate enlargement and prostate cancer can block the bladder outlet and make the bladder distended and leaky. Scar tissue from prostate surgery sometimes narrows the urethra or bladder neck and causes overflow incontinence. Nerve damage caused by a spinal cord injury, an illness, or a medication can also contribute to this form of urinary incontinence.