A former Great Neck urologist is scheduled to face trial Wednesday on federal criminal charges relating to sexual assault and abuse he is accused of committing  against patients over decades.

Hundreds of ex-patients, including minors at the time of the alleged offenses, have named him as a predator, which has resulted in several civil lawsuits in tandem with the federal indictment.

Dr. Darius Paduch, 56, worked at Northwell Health in Great Neck and Lake Success from 2019 until his arrest and subsequent termination in April 2023. He previously was employed at Weill Cornell Medicine in Manhattan for 16 years prior.

His medical specialties included male infertility, erectile dysfunction and genital abnormalities.

Paduch faces a federal indictment including seven counts of inducing a person to travel to engage in unlawful sexual activity and six counts of inducing a minor to engage in unlawful sexual activity.

“As alleged, Darius A. Paduch was a serial sexual abuser. Purporting to provide clinical care, Paduch instead violated patients — including minors — to gratify his own sexual desires,” U.S. Attorney Damian Williams said in an October statement. “As alleged in [the October] Superseding Indictment, Paduch’s abuse was pervasive, spanning over a decade and victimizing patients inside and outside the clinical setting.”

The indictment involved crimes alleged to have been committed against eight of his patients – six of whom were minors at the time of the alleged abuse.

It concerns abuse that is suspected of occurring from about 2007 to 2019, yet the multiple lawsuits claim it spanned more than two decades.

Paduch was arrested in April 2023 in a federal indictment. He faces up to life in prison if convicted of his charges.

Paduch is being held at the Metropolitan Detention Center in Brooklyn as he awaits trial in Manhattan federal court. He pleaded not guilty to the charges.

Ten lawsuits have been filed against Paduch in New York State Supreme Court. A majority were filed in 2023, with two filed just this year.

The lawsuits are being presented by multiple “John Does,” with one lawsuit including 58 anonymous minors and adults alleging abuse.

One lawsuit states the alleged abuse is “almost indescribable,” but that Paduch “digitally-raped, fondled, groped, ogled, masturbated, objectified, and sodomized patients with both his ungloved hands as well as phallic shaped sex toys.”

Some victims are alleging that the abuse was ongoing over multiple years, with one stating it occurred over five years while his patient, according to court documents. This victim was also a minor during the five years of alleged abuse.

“For nearly two decades, Defendant Darius A. Paduch pretended to practice medicine in the field of urology, while instead engaging in a career of racketeering, sexual exploitation, sexual abuse, and sex-trafficking of both minors and adults,” one lawsuit states. “During this time, defendant Darius A. Paduch acted as a disgusting, sadistic, and perverted sexual predator who used his esteemed and trusted position with “corporate defendants” to sexually groom, exploit, abuse, rape, molest, fondle, sodomize, and commit various acts of physical, verbal, and sexual assault and battery on thousands of patients, including the plaintiffs herein, all under the pretense of providing legitimate, medically necessary, medical care. [sic]”

Paduch is accused of grooming his patients to break down their boundaries, a lawsuit states.

“The overwhelming majority of people exposed to grooming in a medical setting will rationalize the bad-actor’s behavior as being somehow related to their actual healthcare needs,” according to one lawsuit. “In reality, the process has the effect of constantly breaking down patients’ normal and healthy boundaries. Once his patients were adequately “groomed” and their defenses were verbally, and increasingly physically, violated, Paduch was then able to physically, and sexually, exploit and abuse them at will.”

Paduch was also accused in the suits of performing unnecessary surgical procedures without anesthesia with the intent to inflict pain. It alleges that this was done to then give the patients “copious” doses of opioids to manipulate them for further abuse.

One lawsuit states the victim experienced “severe emotional and psychological distress, humiliation, fright, dissociation, anger, depression, anxiety, a severe shock to his nervous system, physical pain and mental anguish, and emotional and psychological damage,” due to the alleged abuse.

The suits also are being brought forward against the hospitals, accusing them of negligence. One suit says Weill Cornell Medicine was aware or should have been aware of the alleged abuse that was occurring.

One lawsuit alleges the medical centers and their associated organizations – including Northwell Health – conspired with Paduch to shield the alleged abuse and sexual assault.

Allegations contend other healthcare employees were present in the room during some instances of abuse yet did not do anything to stop it.

Lawsuits state that multiple victims reported the alleged abuse to the hospitals before his arrest.

Newsday reported that Northwell Health – Paduch’s last employer – sent a letter on the date of his arrest to his patients stating he was no longer employed at the hospital. The letter does not state anything about his arrest.