To be fair I grew up in a northern Italian town (~5 000 people) in the 00's and we had a few "peeing spots," usually windowless (north) walls of old houses in the historical center. We rarely peed there--as the GP put it, we only did when "in a pinch."
Coincidentally, toilets in old houses there were really just small rooms jutting out of the northern part of the building that had a hole at the bottom where the waste would just plop down into the soil. Maybe that's where the habit started?
Also the only time somebody got fined for peeing was when one of the local troublemakers peed on a prominent flagpole in the middle of the day--it made it into the local newspaper's locandina :)