Stacy says: "The bladder actually can rupture, although it is rare for this to happen spontaneously without some form of underlying bladder disease or trauma. Stacy says: "There is no benefit in trying to hold your urine until the point of pain. You're at the bar having a grand time, pounding enough light beer to drown a small Bavarian village, when you announce to everyone in your immediate vicinity that pressure's on, and you gotta pee. Stacy says: "The need to urinate is due to sensory nerves in the bladder that get triggered when the bladder is full. This will not decrease your need to urinate in the future if you continue to drink alcohol. The cycle of storing and eliminating urine is a complicated process involving coordination from the brain and spinal cord. As urologists, we have seen cases of bladder rupture due to someone falling down while intoxicated with an over-full bladder. You know exactly what I'm talking about. But there is nothing to breaking the seal.