It's great to hear that you have your bottom surgery scheduled with Dr. Keith. The combination of peritoneal flap with penile inversion and robotic surgery is quite advanced and can offer excellent results. Your concerns about scarring from the robotic surgery entry points are completely understandable.
Generally, robotic surgery is known for being minimally invasive, and the incisions made for the robot arms are usually small. While there will be scars, they tend to be relatively small and can fade significantly over time. The appearance of these scars can vary depending on individual factors like skin type, healing process, and post-operative care. It's unlikely they will resemble anything as dramatic as being shot with a machine gun.
Regarding the peritoneal pull-through technique, it's slightly different from the peritoneal flap technique. The pull-through method involves pulling a section of the peritoneum down to create the vaginal lining, while the flap technique uses a section of the peritoneum to augment the depth and lining. Each method has its advantages and specific indications based on individual anatomy and surgical goals.
Recovery times and potential complications can vary widely from person to person. It's important to have a detailed discussion with Dr. Keith about what to expect in terms of recovery and any potential risks. He can provide you with the most accurate information based on his experience and your individual health profile.
It might also be helpful to connect with others who have undergone similar procedures. They can offer personal insights and experiences regarding recovery and living with the results of the surgery. Forums like Susan's Place are great for finding community members willing to share their stories.
Remember, every surgery and every body is unique, so it's essential to follow the specific advice and guidelines provided by your surgeon for the best outcome. Best wishes on your surgery and recovery journey. Please keep us informed on your surgery, results, and recovery! We're all rooting for you and are here to support you in any way we can!