Principal English Translation: 
conduit, piping, tubing, urinary equipment of a male (human or animal); or the penis itself
Lockhart’s Nahuatl as Written: 
ācayōtl = piping, tubing, urinary equipment of a male
James Lockhart, Nahuatl as Written: Lessons in Older Written Nahuatl, with Copious Examples and Texts (Stanford: Stanford University Press and UCLA Latin American Studies, 2001), 210.