I found this idea elsewhere but can't find the link to give credit so I'll reproduce the general idea here.
For total accuracy, as Gaia said, the verts must be aligned to the grid.
One way to do this is to set the grid up so it matches the sculpt map rather than the sculpt aligning to the default grid.
Bring up the view properties: 3D window 'View' Menu: > View Properties
Show the Transform properties: In Object Mode (cursor over 3d window) : press N

Set the numbers as shown.
The grid may appear to disappear but scroll in with the mouse-wheel to show the grid.
Now the sculpt has been stretched to the grid size, goto edit mode, press 'A' to select all and press SHIFT + S and select 'Align - Grid'
Isn't perfect but does make the sculpt better.
May need some tweaking if verts have moved too far but once cleaned up, it will be exactly the same in Blender when imported back in. It will keep all verts in place.
Oh, and you may want to keep this as default for creating sculpties.
Open a new Blender, throw in a PrimStar cylinder, set the options shown and press CTL + U to save as default setup.
This isn't a rule, it's an option. YMMV, HTH etc etc...