I have seen these before, but very rarely. I was at a rest stop in a rural area many years ago. However, you will probably want to keep some pocket tissue in your purse just in case there isn't any toilet paper available as that can be a common (although not frequent) occurrence in any restroom while traveling. Also, be aware that in some places you may have to pay a small fee to use the restroom. I have seen this all over Europe, but many Americans are surprised when they encounter this!