I'm a dude in his 50s now (that still feels weird to say), and I have to pee all the damn time. Going out in public always involves studying the restroom situation ahead of time. Even so, I've pee'ed in countless alleys, side-roads, and parking lots; I'm always discreet as possible, but I still don't like to do it.
New York City is the absolute worst. Disgusting doesn't bother me, but why are the damn subway restrooms always closed?!