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What is the treatment for TTTS?
There are several different procedures used to treat TTTS. Which procedure or combination of procedures is used will usually depend on the level of severity of the condition.
Some cases of TTTS never progress past the earliest stages, when there is still urine in the bladder of the donor twin, who never becomes "stuck." These cases would require only close monitoring to ensure that the condition does not progress.
Once the condition progresses, your doctor may advise you to undergo any of the following procedures, all of which are designed to alleviate harmful symptoms until the time of delivery, when the twins no longer need to share a placenta.
How will my babies be after the procedure?
That depends on the how severe the condition is and how far it's progressed.
Some studies have shown, however, that twin fetuses with advanced TTTS have a better survival rate after undergoing either amniotic septostomy or endoscopic laser surgery than those who undergo the other treatments discussed above.
Approximately 80 percent of fetuses with TTTS will die if there is no treatment at all. When one fetus dies, there is a high incidence of brain injury to the other fetus.
With umbilical cord ligation, brain injury might be prevented in the surviving twin.
Some survivors may do well and be completely healthy, while others may have injuries to their hearts and kidneys. There is also a risk of preterm delivery after any of these procedures.
"Looking at them now, it's hard to remember all we went through," says Stephanie Villers about her two twin boys. Stephanie was diagnosed with TTTS and treated by the experts at our Advanced Fetal Care Center. To read more about her inspiring story, click here.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”