Other countries?I haven't met it in the UK, but it's possible. 'Plumbing' and 'waterworks' are a commonly used euphemism - in medical circles - for gastro-intestinal and urinary problems.
('Waterworks' has another metaphorical use in other contexts - 'crying': 'Whenever I mention my poker nights (Thursday, without fail) she turns on the waterworks.')
b
I agree with Rover and would not hesitate to use the expression in mixed company. I think 'I need to check out the plumbing' sounds better than saying 'I have to go to the bathroom.' ;-)I've often said and heard 'I'm going to inspect the plumbing' (check out is more of an AE expression, as is bathroom for toilet.
I consider it to be in no way crude and would use it in any company.
Rover
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