There is an anesthetic quality to alcohol, and an initial uphoria that could serve to make a full bladder easy to ignore at first. A full bladder can make it harder for the kidneys to drain more urine into the bladder. Once emptied the kidneys would find it easier to fill the bladder. I knew a heavy drinker that explained why he would stand at the urinal elbows sticking out, hands pressing on his back... "to empty his kidneys as well as his bladder".
When the liver breaks down alcohol, one of the chemicals, acetaldehyde, I believe, is an irritant to the nervous system and could explain why, after steady drinking over several hours people actually seem to wake up. In this state they are more aware, and with beer adding more liquid... the floodgates are fully open.
One hoser stood peeing into the woods. Lifting a bottle of beer to his mouth he said, "ironic isn't it".