If I recall correctly, there are a cross bar and a nut inside. I have removed one from a short block that was out of the truck, but couldn't figure out how anyone would be expected to do a removal and replacement in the truck. If I had to, I'd plan to make up another retention bar system that I could deal with easier. Maybe a long bolt with the head inside, threaded through a steel bar so the mess is one piece and easier to grab-- and a nut on the outside. The actual water seal is via o-ring.
Maybe someone else has the secret; I'll admit my level of motivation wasn't very high. . .