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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.
Overactive bladder: The bladder muscle (detrusor) contracts involuntarily, causing some urine to leak out. Detrusor overactivity is a common cause of urinary incontinence. Hematuria: Blood in the urine. Hematuria may be benign, or may be caused by infection or a serious condition like bladder cancer. Urinary retention: Urine does not exit the bladder normally due to obstruction or suppressed bladder muscle activity. The bladder may swell to hold more than a quart of urine.