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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.
Blockages such as bladder stones or blockages in the urethra can cause retention. This is when urine is not easily expelled or when the bladder overflows causing a constant drip. Constipation can cause a mass in the bowel which puts pressure on the bladder and affects its functioning.