Larry Nassar, the ex-USA Olympic gymnastics team doctor, has been sentenced to 40 to 175 years for his abuse of nearly 160 women and girls.

He pleaded guilty to 10 counts of assault. He was recently sentenced for 60 years for a separate charge of possession of child abuse images, and pleaded guilty in November last year to seven charges of sexual assault.

“As much as it was my honour and privilege to hear the sister survivors, it was my honour and privilege to sentence you,” Judge Rosemarie Aquilina told Nassar before sentencing him. “Because, sir, you do not deserve to walk outside of a prison ever again.”

“You have not owned yet what you did. I wouldn’t send my dogs to you, sir. I’ve just signed your death warrant”.

Nassar had previously written to Aquilina claiming that his victims had “manipulated” him into admitting guilt and that claims were “fabricated”.

“I was a good doctor because my treatments worked, and those patients that are now speaking out are the same ones that praised and came back over and over,” he wrote. “Hell hath no fury like a woman scorned.”

Hundreds of women gave evidence at the trial, including several Olympians. Olympic gold medallist Simone Biles had previously revealed in a #MeToo post on Twitter that she had also been abused by Nassar.

Disgraced Team USA doctor jailed for 175 years