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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.
It can cause: 1  Proximal distention of the urinary tract - effects will depend on the exact location and severity of the blockage: Obstruction in the urethra causes bladder dilation, secondary hypertrophy and diverticulae formation. 2  Pain, particularly when the urinary obstruction is acute.