So, the urogynecologist said there are three threatment plans for the continuing urge/stress incontinence.
One is a pessary...which he said doesn't work well and he does not recommend.
The second option is electrical stimulation twice a day. It is 60% effective in studies. He said it's a viable option and one that my insurance company will pay for.
The third option is a urethral sling. It's an office procedure...local anesthesia, twenty minutes and then 3 hours of observation afterwards, with no lifting or '"activity" for four weeks. 90% effective.

Of course, we discussed how the bladder still has spasms from the MS, and also that part of this is my inability to tell when the bladder is full until it's too late...which can be addressed by a timer reminding me every couple of hours that it's time to empty...

DH and I will discuss the options and see which I feel like submitting to...I just know I'm tired of always worrying about leaking and making it to the bathroom on time...I'm still too young for this...