I have been walking home with someone who pissed in the street less than a block (I don't live in the US, we don't have blocks, but it was a couple of minutes) away from home.
Cmon, use that imagination of yours to go beyond what you have directly experienced.
Remember too that all drunk people have come from somewhere with a working toilet, because places that serve alcohol have toilets.
No, just a regular toilet in a public establishment. I don't know anyone who's thinking "this toilet is gross, so I'll piss in the fucking street". I guarantee you noone is wiping down the street with anti bacterial spray.
Toilets can get busy, yet queuing for one is very normal. Have you noticed that no-one sees the queue and goes on the corner?
That's because this is caused by drunk people failing to plan ahead and then when caught short not having any inhibitions.