This study tackles the challenge of applying fine and nano-catalyst particles in Advanced Oxidation Processes (AOPs), primarily due to the complexities of nanoparticle removal from treated water to prevent secondary nano-hazards. We propose an innovative solution: micro-structured ceramic beads (MSCBs, approximately 3 mm in diameter) with a unique anisotropic pore structure. For the first time, we prepared MSCBs impregnated with cobalt oxide (Co/MSCBs) using a phase-inversion and sintering-assisted process. The Co/MSCBs were investigated for the degradation of sulfamethoxazole (SMX) in the peroxymonosulfate (PMS) induced AOPs system under mild reaction conditions. The effects of operating parameters (e.g., SMX concentration, reaction temperature, and catalyst dosage) in the Co/MSCBs|PMS system were studied on three different types of catalytic ceramic beads: 2Co/MSCB0 (beads with a common isotropic pore structure), 2Co/MSCB1 (beads with radial finger-like microstructures and a denser outer skin-layer), and 2Co/MSCB2 (beads with finger-like microstructures and no outer skin layer). At 20 °C, 2Co/MSCB2 (59.1 %) demonstrated a higher degradation efficiency for 40 mg/L SMX in comparison to 2Co/MSCB1 (54.9 %) and 2Co/MSCB0 (49.6 %). Additionally, it is noteworthy that the sample 2Co/MSCB2, after being used and regenerated, exhibited significantly a higher catalytic performance (70.83 % removal in 20 min during the 16th run) than the fresh one (70.47 % removal in 120 min). After reactions, Co/MSCBs can be readily separated from the bulk solution and used for the next run, making them ideal for practical applications. Furthermore, a radical quenching experiment was conducted, and a plausible catalytic mechanism was proposed. This research presents a new approach for the fabrication of micro-structured ceramic beads that are capable of effectively overcoming the diffusion limitations encountered in both heterogeneous reactions and adsorption processes.