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Introduction: Sexual life is an important component of the quality of life. However, it is frequently neglected aspect in patients with hip osteoarthritis. The aims of the study were to evaluate the influence of the total hip replacement (THR) surgery on the quality of sexual life (QSL). Methods: a retrospective study using an anonymous questionnaire administered to 270 patients in a face-to-face interview at physical medicine and rehabilitation department. Results: The mean age when sexual difficulties began was 45 years (range: 21-63) two years after hip pain occurred. Sexual difficulties were considered severe to major by 19% of patients. The main causes of sexual difficulties were pain, then joint stiffness. Patients with the most pronounced and early sexual repercussions were young women with hip dysplasia. In patient’s opinion, the implementation of THR improves sexual relations. The frequency of intercourse was increased after THR significantly more frequently in women than in men, due to a change in coital position. Only 17% of patients had information about sexual activity before/after THR. Conclusion: Sexual difficulties should not be marginalized, but should be assessed before and after surgery. It is the role of a multidisciplinary team: surgeon, physiatrist and physiotherapist as they should provide clear information.

Objective: Neuropsychiatric sequelae of stroke are common, with depression and anxiety being the 2 most frequent manifestations.1–3 Our objective was to investigate the incidence of depression and anxiety in our patients after stroke. Material/Patients and methods: A longitudinal study over 12 months from September 2014 to September 2015. It covered all cases of new stroke supported the MPR service during this period. We used HAD depression (Hospital Anxiety and Depression Scale Sigmond and Snaith). Results: Of 64 hemiplegic patients followed in our department only 18 patients demonstrated post-stroke depression (26.5%) and 14 patients a state of anxiety (20.6%). The mean age was 57.14 years with a range from 18 to 87 years. The sexratio was 1.1 for women. The majority of strokes were ischemic. Antidepressant treatment was instituted for the 18 patients. Conclusion: Depression should be sought systematically in all patients after stroke, especially in the early phase and at regular interviews with family. It compromises functional prognosis and it is a source of demotivation especially in rehabilitation.4–7