Terence Millin

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Terence Millin
Terence Millin[1]
Born9 January 1903
Helen's Bay, County Down, Ireland (now Northern Ireland)
Died1980
CitizenshipBritish / Irish
Education
OccupationSurgeon
Known for

Terence John Millin

benign large prostates using the retropubic prostatectomy, later known as the Millin's prostatectomy, where he approached the prostate from behind the pubic bone and through the prostatic capsule, removing the prostate through the retropubic space and hence avoided cutting into the bladder. It superseded the technique of transvesical prostatectomy used by Peter Freyer
, where the prostate was removed through the bladder.

Millin graduated in medicine in 1927 from Trinity College Dublin after also gaining a degree in maths and arts, and representing both his university and Ireland at rugby. He first became a house surgeon at Sir Patrick Dun's Hospital, Dublin, following which he gained postgraduate qualifications and moved to London with a travelling scholarship. Here, he came across the Irish urologist Edward Canny Ryall at All Saints' Hospital in Pimlico, and in 1934, inherited Ryall's practice.

His three-page article on the retropubic prostatectomy, published in The Lancet on 1 December 1945, demonstrated a method of removing the prostate without the traditional cut through the bladder, thus reducing complications, and he became renowned for the procedure.

He later moved back to Ireland, served as president of the British Association of Urological Surgeons between 1953 and 1955, and also as president of the British Association of Urological Surgeons. He was given honorary membership of the Urological Section of the Royal Society of Medicine, and in 1963 was elected president of Royal College of Surgeons in Ireland (RCSI).

Early life

Terence Millin was born on 9 January 1903 into a Protestant family in

Edward John Chalmers Morton of Frocester Court, Glos, MP for Davenport,[citation needed] his father was a successful barrister and honorary librarian of the Statistical and Social Inquiry Society of Ireland.[3] He began his early education at the Abbey School in Tipparary. In 1907, his family moved to Dublin and he then completed his education at St Andrew's College. He played rugby for St Andrews, which in 1921 won the Leinster Schools Rugby Senior Cup.[1][3]

After completing school, he gained admission to Trinity College Dublin in 1921, with a scholarship to study arts and mathematics. Later, he changed career path and gained a place to study medicine. He also represented both Trinity College Dublin (DUFC) and Ireland at rugby. He graduated in medicine in 1927.[1][3]

Career

Sir Patrick Dun's Hospital

Millin first became a house surgeon at

Royal College of Physicians of London).[3][1]

He was awarded a travelling fellowship from Dublin University and moved to London where he took up jobs at the Middlesex Hospital and Guy's Hospital. Subsequently, he entered the Royal National Orthopaedic Hospital, Great Portland Street, and the All Saints' Hospital in Pimlico, where he came across the Irish urologist Edward Canny Ryall.[3]

In 1930, he became a Fellow of the Royal College of Surgeons of England and the following year took the optional subject of genito-urinary surgery in his MCh examination at Dublin, when he came first place. In 1934, following the death of Ryall, Millin took over his position at All Saints and his private practice at 75 Harley Street.[3]

On 1 December 1945,

sulphonamides reduced mortality by infection and Millin became renowned for the procedure. He followed this up two years later with his book titled Retropubic Urinary Surgery which contained further observations on prostatectomies and other surgical procedures.[1][3][4] The procedure came to be known as the Millin Retropubic Prostatectomy and it superseded the technique of transvesical prostatectomy used by Peter Freyer.[5][6][7]

In 1950, he moved back to Ireland to 250-acre Georgian estate, “Byblox”, near Cork.[3] His social circle included the novelist Elizabeth Bowen, writer Edward, 5th Baron Sackville, The Slazengers of Powerscourt and Stephen and Lady Ursula Vernon of Bruree, the latter a daughter of 'Bendor', 2nd Duke of Westminster. In the late 1950s, he worked with pioneering nurse educator Eithne O'Domhnaill.[8] He later moved to County Wicklow, and later lived at the palladian villa of Knockmore Enniskerry and Kilcoole.[3]

Awards and honours

In either 1953[9] or 1954,[2] he became president of the British Association of Urological Surgeons and was given honorary membership of the Urological Section of the Royal Society of Medicine.[9]

He was elected president of RCSI for 1963–1966. He was a recipient of the St Peter's Medal.[9]

Death and legacy

In 1980, he died of

cancer of the larynx.[9]

The RCSI commemorates him in the annual Millin Scientific Meeting, in which the speaker receives the Millin Medal.[10] A student residence and the Millin Room at the RCSI were named his honour.[3][11]

Selected publications

Articles

Books

References

  1. ^
    doi:10.1111/j.1464-410X.2005.05712.x
    (subscription required)
  2. ^
    doi:10.1002/tre.779
    .
  3. ^ a b c d e f g h i j k "Terence Millin (1903 - 1980): Surgeon and medical pioneer". www.newulsterbiography.co.uk. The Dictionary of Ulster Biography. Archived from the original on 27 September 2023. Retrieved 29 October 2019.
  4. ISBN 9780470755136
    .
  5. S2CID 32081135
    .
  6. ISSN 0473-8837
  7. ISBN 1841101818
  8. ^ Key influence in raising profile and the standard of Irish nursing. ‘'The Irish Times. 2 September 2000.
  9. ^ a b c d "Terence Millin | The British Association of Urological Surgeons Limited". www.baus.org.uk. Retrieved 7 November 2019.
  10. ^ "Millin Lecture". www.rcsi.com. Retrieved 20 February 2024.
  11. ^ RCSI History Timeline. 2018. pp. 7
  12. ISSN 0039-6060
    .

Further reading
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