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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.
Blockage (obstruction) of the tube passing urine out from the bladder (the urethra) A common cause of a blockage for men is prostate gland enlargement. Other causes include a narrowing of the urethra (urethral stricture) and constipation. Urinary retention in women can also be caused by genitourinary prolapse.