you are asking about cpu cooling correct? Water cooling is superior, it gives lower temperatures.
The second question of how many you got on your pc bust refer to the case fans. I personaly have 1x 200mm as intake in the front and 3x120mm as exhaust to my radiators(i use a custom loop and have 2 radiators). Normally you should balance the intake and out-take , i tried to add once a 120mm as intake but didn't see any difference.
As for the cooling per watts of psu, the psu is irrelevant to cooling. Better cooling is for systems that use more power, in other words produce more heat.