How can I tell the difference between congenital phimosis and phimosis in adults? Is phimosis related to impotence in any way? Also, is it possible to treat congenital phimosis with betamethasone cream instead of surgery?

Congenital phimosis is present from birth, where the foreskin cannot be retracted due to a tight opening, while phimosis in adults often develops due to scarring or infection. Phimosis is not considered impotence, as it primarily affects the foreskin's ability to retract, not erectile function. Betamethasone cream can be effective in mild cases of congenital phimosis by reducing inflammation and allowing easier retraction, but surgery may still be required for more severe cases.