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It's not (tho the smol children bit might be a rare occurrence) but ppl do leave their cars when stuck on the same spot for hours (which isn't that common altogether). There are other emergencies too (eg being sick).

I did piss on the road in a snow blizzard once, we were stuck on a very hilly motorway bcs a few buses & some trucks on shit (summer?) tyres went sideways blocking all lanes (others, trucks included, had no issues) but I didn't even step away from the car really bcs the visibly was so poor at some point that it was cool (in fact I was facing the incoming lanes opposite). We were there several hours tho.

In the same situation - after already not moving for at least half an hour a bus driver from a few cars behind me came so ask me (and I assume others?) to move my car just a bit forward so he could get to the freed lane (like op's pic). Once he explained the reasoning I replied with several swear words in his native language & the fucker absolutely knew what a shitty thing he was trying to do.

That kind of sex offender thing (exposing yourself) is treated differently here afaik - the laws aren't that different (eg when you can be naked in your home next to a window), but the application is (I don't imagine someone actually seeing your private bits if you aren't standing on the actual road & facing traffic). Also getting on a public sex offender list for urinating in public sounds like something cops disproportionately use to fuck the lives of innocents just for fun.