In the good old days of manual focusing most macro lenses (e.g. 55/3.5, 105/4, and 200/4 Micro-Nikkors) only focused to 1:2 (half life size) so special extension tubes were sold to match to the focal lengths so as to yield 1:2 to 1:1 focusing range for some lenses. For example the Nikon PK-13 ring is 27.5mm long and was designed for the 55 whereas the PN-11 was for the 105. These two lenses also focused to 1:2 simply by racking out the lens elements, the extension tube carried this out for another increment equal to that intrinsic to the lens. When the 200 came out, it had internal focus (IF) and no extension tube came out for it. My recollection was the that the TC-300 teleconverter (TC; a.k.a. doubler) was recommended to bring the 200 to 1:1 but the PN-11 could be used too but less than 1:1 resulted. The IF enables lenses to compensate for lens aberrations induced by change in focus distance. This would be lost if an extension tube was used but would be conserved if a TC was used.
The bellows correction factor (due to loss of light by the extension) was engraved on the barrel of some MF macro lenses, two scales on some for use with and without the 1:1 tube. With the advent of TTL metering and TTL flash, the bellows correction factor was all but forgotten since the metering system took care of it. Interestingly, the 50 macro lens for the Nikonos RS has an automatic compensation so that as the lens is focused to 1:1, it opens up a tad. Therefore, f/22 remains T/22, (T-stop, not f/stop) but the DOF is that of the compensated aperture, i.e., less DOF. I criticized this 'feature' in my review of the RS that I did for the AAUS a decade or so ago. This is good for some folks, but DOF is sacrificed as a result.
The main problem of using an extension or TC UW is that one may have to use special lens gears; unless you have one of those ports that incorporates focusing and have a port extension tube that is the same length as your lens extension tube. Alternatively, you would have to do your dive at a fixed focus distance, like in the days of Nikonos (I to V) extension tubes and framers (remember them?).
BTW, I believe the EOS Canon 50 macro lens only goes to 1:2 and needs a tube to go to 1:1 like many MF focusing macros.
Tom