I have had utis since I was 4 Now 14

Patient: I have had utis since I was 4. Now 14 years later I still get them at least once a month. I recently just got over a kidney infection about two weeks ago and I feel like all of the symptoms are back. My back hurts and the nausea, burning, pressure, and discomfort are all back. I have also been losing weight without even trying and my appetite seems to have been missing for the past month. I am beginning to grow concerned.

Doctor: