{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:09:49Z","timestamp":1790690989836,"version":"4.1.0"},"reference-count":4,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"abstract":"<jats:sec>\n                    <jats:title>Need<\/jats:title>\n                    <jats:p>Adequate stabilization in scrotal and penile surgeries is essential but traditionally relies on manual fixation, causing assistant fatigue and operative instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technical Solution<\/jats:title>\n                    <jats:p>We developed the Nuts Holder, an adjustable, reusable stainless steel support device featuring a screw-and-slide mechanism designed to gently clamp and stabilize the target organ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Proof of Concept<\/jats:title>\n                    <jats:p>In 16 consecutive urological cases, including microTESE, the device was successfully applied without any complications. A surgeon survey demonstrated 100% agreement on improved operative stability, reduced assistant dependence, and enhanced maintenance of microscopic focus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Next Steps<\/jats:title>\n                    <jats:p>To address an initial learning curve regarding setup ease, a second-generation model featuring a quick-release mechanism and reduced weight is currently under development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Nuts Holder is a safe and feasible device that standardizes tissue fixation, prevents assistant-related instability, and successfully facilitates solo surgery in urology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506261495647","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T12:27:20Z","timestamp":1790512040000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Utility and Safety of a Novel Support Device \u201cNuts Holder\u201d in Scrotal and Penile Surgery: Initial Experience"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-0776","authenticated-orcid":false,"given":"Yutaro","family":"Sasaki","sequence":"first","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Daizumoto","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoei","family":"Minato","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuhiro","family":"Yano","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuki","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keito","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryotaro","family":"Tomida","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshito","family":"Kusuhara","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihisa","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Fukawa","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Tokushima University Graduate School of Biomedical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84628-706-0_7"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.02.048"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15366"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18039"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261495647","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506261495647","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506261495647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:48:25Z","timestamp":1790689705000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506261495647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,27]]},"references-count":4,"alternative-id":["10.1177\/15533506261495647"],"URL":"https:\/\/doi.org\/10.1177\/15533506261495647","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,27]]},"article-number":"15533506261495647"}}