He hadn't been able to get an erection for 20 years or more so he was going down on her when he pulled his head out and said: "I'm sorry I can't do this any more!"
She said, "What's the problem?"
"There's such a terrible odor!"
"I know," she said, "I have really bad arthritis."
"You have ARTHRITIS OF THE VAGINA?" was the befuddled reply.
"No," she said, "in my elbows. That's how come I can't wipe myself!"