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Actually, it is non-op transgendered persons (men in drag) who would say this, not genuine TS persons who have or will get corrective surgery. Since they are effectively men, as they have a penis and want to keep it, and since the context here is having another male as a partner, then this means the same as it does in gay male lingo.
When a gay man says he is bottom only, it means he wants to be penetrated by another man and doesn't want to penetrate his partner. So it means he wants his penis ignored, and wants his anus and/or mouth penetrated.
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