Microbial fuel cells (MFCs) show promise in sewage treatment because they can directly convert organic matter (OM) into electricity. This study aimed to demonstrate MFCs stability over 750 days of operation and efficient removal of OM and nitrogenous compounds from sewage. To enhance contaminant removal, oxygen was provided into the anode chamber via a mini air pump. This pump was powered by the MFCs' output voltage, which was boosted using a DC-DC converter. The experimental system consisted of 12 sets of cylindrical MFCs within a 246L-scale reactor. The boosted voltage reached 4.7 V. This voltage was first collected in capacitors every 5 min and then dispensed intermittently to the air pump for the MFCs reactor in 4 s. This corresponds to receiving average DO concentration reaching 0.34 ± 0.44 mg/L at 10 cm above the air-stone. Consequently, the degradation rate constants (k) for chemical oxygen demand (COD) and biological oxygen demand (BOD) in the presence of oxygen were 0.048 and 0.069, respectively, which surpassed those without oxygen by 0.039 and 0.044, respectively. Aeration also marginally improved the removal of ammonia because of its potential to create a favorable environment for the growth of anammox and ammonia-oxidizing bacteria such as Candidatus brocadia and Nitrospira. The findings of this study offer in-depth insight into the benefits of boosted voltage in MFCs, highlighting its potential to enhance contaminant degradation. This serves as a foundation for future research focused on improving MFCs performance, particularly for the removal of contaminants from wastewater.