This paper focused on the combination of membrane ultrafiltration, adsorption and ultrasound processes in one hybrid process called USAMe for improving membrane wastewater treatment performance and membrane fouling control. Different tests were conducted at different ultrasound frequencies and recycle ratio. Improved permeate quality in the USAMe process. Membrane fouling reduction with the combined application of ultrasound and activated carbon. Influence of ultrasound frequency, membrane flux and recycle ratio on treatment performance. © Springer Nature Switzerland AG 2020.