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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.
If the bladder does not empty fully, urine may build up and cause the bladder to become enlarged. The distended bladder may leak, a condition called overflow incontinence. The treatment depends on the cause, which generally fall into two categories: blockage of the bladder outlet; failure of the bladder to contract enough to push out the urine