It would seem that some people get a chronic UTI.
It’s where the bacteria have penetrated the bladder wall and won’t die.
The only solution is long term antibiotics, and hope it will eventually go.

Yes, I have an active infection.
Jeez it’s killing me, the lack of sleep.
Repeatedly I’m awake all night, and I dread going to bed. The spasms start and then they continue all night long. Sleep is impossible.