A "creepy" ultrasound operator who indecently touched patients' breasts and genitals in a Sydney clinic will spend at least three years behind bars.
Samir Fahmy Ishak, 69, on Thursday was handed a maximum term of five years for one count of aggravated indecent assault in 2011 and a further eight counts in late 2014.
District Court Acting Judge Rodney Madgwick described the offending as "significant breaches of trust" and was far more serious than indecent assaults "unaccompanied by a degree of authority".
He said one of the victims had described the then-sonographer as "creepy" after her assault.
Another of Ishak's five victims said in a statement that she moved house to avoid both the specialist and the clinic and had become reclusive in her private life.
"I fear that he'll spot me and then follow me home, which led me to move to a new house to feel safe," she said in a victim impact statement.
"I felt like I was taken advantage of while I lay naked without underwear on the exam table."
In the most serious case, a woman who required an invasive ovarian examination was asked to strip naked.
"He told her 'Don't be shy, I'm a doctor'," Acting Judge Madgwick said.
"He was not a doctor."
Ishak then asked the patient about her marital status before touching her genitals with his hands.
The court was told the first offence was followed by an investigation by the Health Care Complaints Commission.
"Nevertheless he continued to misbehave and outrage a number of women," Acting Judge Madgwick said.
He said Ishak had maintained his innocence throughout a jury trial and neither offered an apology or had shown contrition.
Acting Judge Madgwick also rejected defence barrister Gregory Stanton's argument that a disturbance in the elderly man's brain had distorted his ability to mediate "his urges".
Ishak relinquished his registration as a sonographer following his arrest in early 2015.